Individual
DR. RICHARD WILLIAM PACELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 W 47TH ST, SUITE 9, LA GRANGE, IL 60525
(708) 482-4517
(708) 482-4519
Mailing address
1400 W 47TH ST, SUITE 9, LA GRANGE, IL 60525
(708) 482-4517
(708) 482-4519
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
IL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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