Chicagoland Implant Specialist Ltd
NPI #1326498130 in Lombard, Illinois
Provider Information
- NPI Number
- 1326498130
- Entity Type
- Organization
- Organization Name
- Chicagoland Implant Specialist Ltd
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jun 13, 2016
- Last Updated
- Jan 24, 2017
Practice Location
Authorized Official
- Name
- DR. PAUL S PETRUNGARO, DDS
- Title
- OWNER
- Phone
- (312) 415-7481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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