Laura Laita,dds & Keith E Petranek,dds | |
937 S Mannheim Rd Westchester IL 60154-2552 | |
(708) 344-3434 | |
Not Available |
Full Name | Laura Laita,dds & Keith E Petranek,dds |
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Speciality | Dentist - General Practice |
Location | 937 S Mannheim Rd, Westchester, Illinois |
Authorized Official Name and Position | Keith E. Petranek (GENERAL PARTNER) |
Authorized Official Contact | 7083443434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laura Laita,dds & Keith E Petranek,dds 937 S Mannheim Rd Westchester IL 60154-2552 Ph: (708) 344-3434 | Laura Laita,dds & Keith E Petranek,dds 937 S Mannheim Rd Westchester IL 60154-2552 Ph: (708) 344-3434 |
NPI Number | 1003036914 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003036914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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