Michael C Larocca, DMD
Dentist in Elgin, IL. Individual provider (NPI-1).
NPI number1316630635
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1316630635
- Entity type
- Individual (NPI-1)
- Name
- Michael C Larocca
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2023
- Certification date
- May 29, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019.034282 | IL | Yes |
Practice location
1350 E Chicago St Unit 4Elgin, IL 60120-4724
Phone 847-760-6100
Mailing address
1722 Lakecliffe Dr Apt BWheaton, IL 60189-8364
Phone 631-766-7671
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