Leon J Witkowski Jr Dds Ltd | |
19665 S La Grange Road Mokena IL 60448 | |
(708) 479-9888 | |
(708) 479-8900 |
Full Name | Leon J Witkowski Jr Dds Ltd |
---|---|
Speciality | Dentist |
Location | 19665 S La Grange Road, Mokena, Illinois |
Authorized Official Name and Position | Leon J Witkowski (OWNER PRACTIONER DDS) |
Authorized Official Contact | 7084799888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leon J Witkowski Jr Dds Ltd 19665 S La Grange Road Mokena IL 60448 Ph: (708) 479-9888 | Leon J Witkowski Jr Dds Ltd 19665 S La Grange Road Mokena IL 60448 Ph: (708) 479-9888 |
NPI Number | 1962536508 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962536508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
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