NPI 1003036914
Laura Laita,dds & Keith E Petranek,dds
Practice location
- Address
- 937 S Mannheim Rd, Westchester, IL 60154-2552
- Phone
- (708) 344-3434
Authorised official
- Name
- Keith E. Petranek
- Title
- General Partner
- Phone
- (708) 344-3434
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003036914
- Entity type
- Organization
- NPI issued
- 26 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.