Lavergne Dental Care PC

NPI #1245415256 in Cicero, Illinois

Provider Information

NPI Number
1245415256
Entity Type
Organization
Organization Name
Lavergne Dental Care PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 9, 2008
Last Updated
Jan 9, 2008

Practice Location

Address
4939 W 14TH ST
City
Cicero
ZIP Code
60804-1419
Phone
(708) 652-1080

Authorized Official

Name
DR. SHERIN B JACOB, DDS
Title
PRESIDENT
Phone
(708) 652-1080

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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