Lary Michael Pane, DDS

NPI #1235291287 in Bellwood, Illinois

Provider Information

NPI Number
1235291287
Entity Type
Individual
Name
Lary Michael Pane, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4420 ST CHARLES ROAD
ZIP Code
60104
Phone
(708) 547-7160

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

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