Organization
D2 DENTAL OF LANSING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LABINOV (AGENT)
(708) 386-4100
Entity
Organization
Contact information
Practice address
5622 W TOUHY AVE, NILES, IL 60714-4001
(847) 983-4202
Mailing address
137 N OAK PARK AVE, SUITE 310, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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