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Individual

DR. CARL J LAUDANDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-1770
(708) 361-2231
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-1770
(708) 361-2231

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19-15712
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19-15712
PERIODONTIST
IL
Enumeration date
04/21/2011
Last updated
04/21/2011
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