Robert T Miserendino Dds Ltd | |
8535 W 79th St Justice IL 60458-2281 | |
(708) 458-7552 | |
Not Available |
Full Name | Robert T Miserendino Dds Ltd |
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Speciality | Clinic/center - Dental |
Location | 8535 W 79th St, Justice, Illinois |
Authorized Official Name and Position | Robert Miserendino (PRESIDENT) |
Authorized Official Contact | 7084587552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert T Miserendino Dds Ltd 8535 W 79th St Justice IL 60458-2281 Ph: (708) 458-7552 | Robert T Miserendino Dds Ltd 8535 W 79th St Justice IL 60458-2281 Ph: (708) 458-7552 |
NPI Number | 1457583536 |
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Provider Enumeration Date | 08/21/2009 |
Last Update Date | 08/21/2009 |
Identifier | Type | State | Issuer |
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1457583536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019015140 (Illinois) | Primary |
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