MRS. Leesa Ann Sasic-Mitsos, DDS PC

NPI #1144478140 in New Lenox, Illinois

Provider Information

NPI Number: 1144478140
Entity Type: Individual
Name: MRS. Leesa Ann Sasic-Mitsos, DDS PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS PC
Enumeration Date: Sep 3, 2008
Last Updated: Sep 3, 2008

Practice Location

Address: 1804 E LINCOLN HWY
City: New Lenox
State: Illinois
ZIP Code: 60451
Phone: (815) 462-4838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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