DR. Edward Peter Laco JR., D.D.S.

NPI #1629082516 in Loves Park, Illinois

Provider Information

NPI Number: 1629082516
Entity Type: Individual
Name: DR. Edward Peter Laco JR., D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 28, 2006
Last Updated: Sep 26, 2011

Practice Location

Address: 309 E RIVERSIDE BLVD
City: Loves Park
State: Illinois
ZIP Code: 61111-4520
Phone: (815) 633-1815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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