Individual
LAVI ZARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4711 GOLF RD STE 550, SKOKIE, IL 60076-1269
(847) 328-9900
Mailing address
2943 W JARVIS AVE, CHICAGO, IL 60645-1207
(773) 308-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031092
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
07/21/2022
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