Organization
LAWN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OLONO DDS (CO OWNER DENTIST)
(773) 523-0700
Entity
Organization
Contact information
Practice address
3113 SOUTH PULASKI, CHICAGO, IL 60623
(773) 523-0700
(773) 523-0702
Mailing address
3113 SOUTH PULASKI, CHICAGO, IL 60623
(773) 523-0700
(773) 523-0702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019895
IL
Other
Enumeration date
03/07/2006
Last updated
05/05/2008
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