DR. Laurence Robert Daitch, D.D.S.
NPI #1336211291 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1336211291
- Entity Type
- Individual
- Name
- DR. Laurence Robert Daitch, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10 W PHILLIP RD
- Address 2
- SUITE 105
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1799
- Phone
- (847) 680-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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