Organization · NPI-2

Carl J. Laudando

Dentist, Periodontics · Palos Heights, IL

NPI number1316086044
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1316086044
Entity type
Organization (NPI-2)
Legal business name
Carl J. Laudando
Organization subpart
No
Enumeration date
Feb 6, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics021.001005ILYes

Practice location

7600 W College Dr
Palos Heights, IL 60463-1001

Phone 708-361-1770

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001

Phone 708-361-1770

Authorized official

Carl J Laudando
President
7083611770

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