Lagrange Park Dentistry PC
NPI #1114803822 in La Grange Park, Illinois
Provider Information
- NPI Number
- 1114803822
- Entity Type
- Organization
- Organization Name
- Lagrange Park Dentistry PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 15, 2025
- Last Updated
- Aug 15, 2025
Practice Location
- Address
- 360 SHERWOOD RD
- City
- La Grange Park
- State
- Illinois
- ZIP Code
- 60526-1967
- Phone
- (708) 354-7363
Authorized Official
- Name
- DR. RYAN PETERSON, DMD
- Title
- PRESIDENT/OWNER
- Phone
- (708) 846-3436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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