| Lee M. Ceresa Dds | |
|
1601 4th St Peru IL 61354-3507 | |
| (815) 224-3636 | |
| (815) 220-1479 |
| Full Name | Lee M. Ceresa Dds |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1601 4th St, Peru, Illinois |
| Authorized Official Name and Position | Lee Michael Ceresa (OWNER/DENTIST) |
| Authorized Official Contact | 8152243636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee M. Ceresa Dds 1601 4th St Peru IL 61354-3507 Ph: (815) 224-3636 | Lee M. Ceresa Dds 1601 4th St Peru IL 61354-3507 Ph: (815) 224-3636 |
| NPI Number | 1407031305 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407031305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (Illinois) | Primary |
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