DR. Lee Michael Ceresa, D.D.S.

NPI #1063513117 in Peru, Illinois

Provider Information

NPI Number: 1063513117
Entity Type: Individual
Name: DR. Lee Michael Ceresa, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Sep 25, 2006
Last Updated: Sep 30, 2014

Practice Location

Address: 1601 4TH ST
City: Peru
State: Illinois
ZIP Code: 61354-3507
Phone: (815) 224-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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DR. Mark Alan Henry, DDS MS	Dentist - Endodontics	Peru	AI Deep Dive
Bruce John Kramper, DDS, PC	Dentist - Endodontics	Schaumburg	AI Deep Dive
DR. John M Yaccino, DDS	Dentist - Endodontics	Scott Afb	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Illinois Valley Endodontics LLC	Dentist - Endodontics	Peru	AI Deep Dive

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