Individual
DR. LEO NARODITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1306 S CROSS ST, ROBINSON, IL 62454-2322
(618) 544-5478
(618) 544-5478
Mailing address
1306 S CROSS ST, P.O.BOX 857, ROBINSON, IL 62454-2322
(618) 544-5478
(618) 544-5478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003100
—
IL
Enumeration date
03/30/2008
Last updated
03/30/2008
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