| Robert T Miserendino Dds Ltd | |
|
8535 W 79th St Justice IL 60458-2281 | |
| (708) 458-7552 | |
| Not Available |
| Full Name | Robert T Miserendino Dds Ltd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8535 W 79th St, Justice, Illinois |
| Authorized Official Name and Position | Robert Miserendino (PRESIDENT) |
| Authorized Official Contact | 7084587552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Miserendino Dds Ltd 8535 W 79th St Justice IL 60458-2281 Ph: (708) 458-7552 | Robert T Miserendino Dds Ltd 8535 W 79th St Justice IL 60458-2281 Ph: (708) 458-7552 |
| NPI Number | 1457583536 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457583536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019015140 (Illinois) | Primary |
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