Risorius Dental LLC
NPI #1699908509 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1699908509
- Entity Type
- Organization
- Organization Name
- Risorius Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 25, 2009
- Last Updated
- Aug 25, 2009
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
- OWNER
- Phone
- (847) 965-9211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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