| Risorius Dental Llc | |
|
9211 Waukegan Rd Morton Grove IL 60053-2102 | |
| (847) 965-9211 | |
| (847) 583-9211 |
| Full Name | Risorius Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 9211 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | Vlad Botezatu (DENTIST OWNER) |
| Authorized Official Contact | 8479659211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risorius Dental Llc 9211 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 965-9211 | Risorius Dental Llc 9211 Waukegan Rd Morton Grove IL 60053-2102 Ph: (847) 965-9211 |
| NPI Number | 1275933046 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275933046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028082 (Illinois) | Primary |
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