Risorius Dental LLC

NPI #1275933046 in Morton Grove, Illinois

Provider Information

NPI Number: 1275933046
Entity Type: Organization
Organization Name: Risorius Dental LLC
Primary Specialty: Dentist
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 9211 WAUKEGAN RD
City: Morton Grove
State: Illinois
ZIP Code: 60053-2102
Phone: (847) 965-9211

Authorized Official

Name: DR. VLAD BOTEZATU, DMD
Title: DENTIST OWNER
Phone: (847) 965-9211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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