Lerias & Quesea Dds Pc | |
142 W Irving Park Rd Wood Dale IL 60191-1341 | |
(630) 766-3840 | |
Not Available |
Full Name | Lerias & Quesea Dds Pc |
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Speciality | Dentist - General Practice |
Location | 142 W Irving Park Rd, Wood Dale, Illinois |
Authorized Official Name and Position | Richie V Lerias (OWNER) |
Authorized Official Contact | 6307663840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lerias & Quesea Dds Pc 142 W. Irving Park Rd Wood Dale IL 60191 Ph: (630) 766-3840 | Lerias & Quesea Dds Pc 142 W Irving Park Rd Wood Dale IL 60191-1341 Ph: (630) 766-3840 |
NPI Number | 1508163692 |
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Provider Enumeration Date | 02/25/2011 |
Last Update Date | 02/25/2011 |
Identifier | Type | State | Issuer |
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1508163692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019-026070 (Illinois) | Primary |
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Timothy J. Kiczenski, D.d.s., Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 E Commercial St, Wood Dale, IL 60191 Phone: 630-766-2223 |