DR. Vincent T. Versaci, D.D.S.

NPI #1114941549 in Western Springs, Illinois

Provider Information

NPI Number
1114941549
Entity Type
Individual
Name
DR. Vincent T. Versaci, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4471 LAWN AVE
Address 2
SUITE 200
ZIP Code
60558-1565
Phone
(708) 246-6006

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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