VITO P. LASUSA, D.D.S., LLC
Dentist at Washington St, Chicago, IL

License number
Illinois 019-024973
Category
Dentist
Type
Dentist
Owner
Name: DR. VITO P LASUSA DDS
Title: DENTIST
Phone: (312) 236-2968
Address
Address
25 E Washington St SUITE 2025, Chicago, IL 60602
National Provider ID: 1629499025
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VITO P. LASUSA, D.D.S., LLC

25 E Washington St STE 2025, Chicago, IL 60602

Industry:
Dentist's Office
Doing business as:
Vito P Lasusa DDS
Registration:
Aug 2, 2013
State ID:
04412036
Business type:
Domestic LLC
Family And General Dentistry, Principal:
Vito P. Lasusa (Family And General Dentistry, Principal)
Agent:
Vito P. Lasusa, D.d.s., Llc,25 E Washington St STE 2025, Chicago, IL 60602 (Physical)

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