Organization
JOSEPH R. SPERLAZZO D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R. SPERLAZZO D.D.S. (PRESIDENT)
(630) 773-9166
Entity
Organization
Contact information
Practice address
421 W IRVING PARK RD, ITASCA, IL 60143-2039
(630) 773-9166
Mailing address
421 W IRVING PARK RD, ITASCA, IL 60143-2039
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019020307
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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