| Lrc Periodontics And Implants, Llc | |
|
1099 Belt Line Rd Suite A Collinsville IL 62234-4380 | |
| (402) 943-7711 | |
| Not Available |
| Full Name | Lrc Periodontics And Implants, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1099 Belt Line Rd, Collinsville, Illinois |
| Authorized Official Name and Position | Laura Richards Capati (OWNER/PERIODONTIST) |
| Authorized Official Contact | 4029437711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrc Periodontics And Implants, Llc 1099 Belt Line Rd Suite A Collinsville IL 62234-4380 Ph: () - | Lrc Periodontics And Implants, Llc 1099 Belt Line Rd Suite A Collinsville IL 62234-4380 Ph: (402) 943-7711 |
| NPI Number | 1386997906 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386997906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 019.027682 (Illinois) | Primary |
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