Organization
DONALD A LA PIDUS DDS
Active
Parent organization
DONALD A LA PIDUS DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONALD A LA PIDUS DDS PC
Authorized official
DR. DONALD ABBY LA PIDUS DDS (OWNER PRESIDENT)
(847) 432-2737
Entity
Organization
Contact information
Practice address
1770 FIRST ST, SUITE 430, HIGHLAND PARK, IL 60035-3237
(847) 432-2737
(847) 432-2363
Mailing address
1770 FIRST ST, SUITE 430, HIGHLAND PARK, IL 60035-3237
(847) 432-2737
(847) 432-2363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019012053
IL
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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