Lidiane Fumiko Takeda, DDS
NPI #1013693183 in Chicago Heights, Illinois
Provider Information
- NPI Number
- 1013693183
- Entity Type
- Individual
- Name
- Lidiane Fumiko Takeda, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 23, 2023
- Last Updated
- Aug 3, 2023
Practice Location
- Address
- 567 W 14TH ST
- City
- Chicago Heights
- State
- Illinois
- ZIP Code
- 60411-2386
- Phone
- (708) 283-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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