LAWRENCE PLAZA DENTAL LLC
Managed Care Organizations at Roselle Rd, Schaumburg, IL

License number
Illinois 01905148
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 019016834
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 019018205
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 019027347
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. ALAN J ACIERNO DDS
Title: MANAGER
Phone: (630) 339-3172
Address
Address 2
129 S Roselle Rd SUITE 102, Schaumburg, IL 60193
5912 W Lawrence Ave, Chicago, IL 60630
National Provider ID: 1285025213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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