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Gilbert J Lafemina Dds Ltd
Dental Clinic/Center in Riverside, Illinois
NPI 1003112632

Gilbert J Lafemina Dds Ltd is a Dental Clinic/Center based in Riverside, IL and is specialized in Dental. Gilbert J Lafemina Dds Ltd practices in Riverside, IL. The NPI Number for Gilbert J Lafemina Dds Ltd is 1003112632 and holds a License No. 019015136 (Illinois).

The current practice location address for Gilbert J Lafemina Dds Ltd is 345 E Burlington St, Riverside, IL and can be reached out via phone at 708-447-6670 and via fax at 708-447-6673.

Location: 345 E Burlington St, Riverside, IL, 60546-2084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003112632
Provider Name
Gilbert J Lafemina Dds Ltd
Credential
Provider Entity Type
Organization
Address
345 E Burlington St, Riverside, IL, 60546-2084
Phone Number
708-447-6670
Fax Number
708-447-6673
Provider Enumeration Date
01/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6489850001 01 IL PTAN
institution
Provider Business Practice Location Address Details
Address
345 E Burlington St
City
Riverside
State
Illinois
Zip
60546-2188
Phone Number
708-447-6670
Fax Number
708-447-6673
person
Provider Business Mailing Address Details
Address
345 E Burlington St
City
Riverside
State
Illinois
Zip
60546-2188
Phone Number
708-447-6670
Fax Number
708-447-6673
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019015136 (Illinois)
Definition
Definition to come...
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