NPI 1003112632

Gilbert J Lafemina DDS LTD

Organisation Dental Clinic/Center Riverside, IL

Practice location

Address: 345 E Burlington St, Riverside, IL 60546-2188
Phone: (708) 447-6670
Fax: (708) 447-6673
Mailing address: 345 E Burlington St STE B1, Riverside, IL 60546-2084

Authorised official

Name: Gilbert J Lafemina
Title: President
Phone: (708) 447-6670

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 019015136 (IL)

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1003112632
Entity type: Organization
NPI issued: 29 Jan 2011
Record last updated: 16 Dec 2011

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.