Homer-Lockport Dental Associates, Inc.
NPI #1578602066 in Homer Glen, Illinois
Provider Information
- NPI Number
- 1578602066
- Entity Type
- Organization
- Organization Name
- Homer-Lockport Dental Associates, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 12701 W 143RD ST
- City
- Homer Glen
- State
- Illinois
- ZIP Code
- 60491-7808
- Phone
- (708) 301-3800
Authorized Official
- Name
- DR. PAUL S. VALASEK, DDS
- Title
- PRESIDENT
- Phone
- (708) 301-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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