| Lafazanos Dental Pc | |
|
820 E Terra Cotta Ave Suite 218/220 Crystal Lake IL 60014-3649 | |
| (815) 455-5490 | |
| (815) 455-5498 |
| Full Name | Lafazanos Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 820 E Terra Cotta Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Spiros J Lafazanos (CEO) |
| Authorized Official Contact | 8154555490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafazanos Dental Pc 820 E Terra Cotta Ave Suite 218/220 Crystal Lake IL 60014-3649 Ph: (815) 455-5490 | Lafazanos Dental Pc 820 E Terra Cotta Ave Suite 218/220 Crystal Lake IL 60014-3649 Ph: (815) 455-5490 |
| NPI Number | 1508188244 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508188244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023307 (Illinois) | Primary |
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