| Leon J Witkowski Jr DDS Ltd | |
|
19665 S La Grange Road Mokena IL 60448 | |
| (708) 479-9888 | |
| (708) 479-8900 |
| Full Name | Leon J Witkowski Jr DDS Ltd |
|---|---|
| Speciality | Dentist |
| Location | 19665 S La Grange Road, Mokena, Illinois |
| Authorized Official Name and Position | Leon J Witkowski (OWNER PRACTIONER DDS) |
| Authorized Official Contact | 7084799888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon J Witkowski Jr DDS Ltd 19665 S La Grange Road Mokena IL 60448 Ph: (708) 479-9888 | Leon J Witkowski Jr DDS Ltd 19665 S La Grange Road Mokena IL 60448 Ph: (708) 479-9888 |
| NPI Number | 1962536508 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962536508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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