Individual
LAITH VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4450 N HARLEM AVE, NORRIDGE, IL 60706-4745
(708) 402-9135
Mailing address
950 W ERIE ST, CHICAGO, IL 60642-7290
(248) 953-1211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034154
IL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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