Organization
D2 DENTAL OF LANSING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LABINOV (AGENT)
(312) 404-3975
Entity
Organization
Contact information
Practice address
1 CHICAGO AVE, OAK PARK, IL 60302-2432
(708) 948-7744
Mailing address
137 N OAK PARK AVE STE 310, OAK PARK, IL 60301-1339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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