Individual
DR. PAUL A HOMERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11244 LA PORTE ROAD, MOKENA, IL 60448
(708) 479-2203
(708) 479-2412
Mailing address
11244 LA PORTE ROAD PO BOX 283, MOKENA, IL 60448
(708) 479-2203
(708) 479-2412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1915665
IL
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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