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NPI Code Detail

MEDICARE: DR. LAMBERTO R TORNO JR. DDS

MEDICARE: DR. LAMBERTO R TORNO JR. DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry19A14694IL

General Provider Information

NPI Number : 1710093752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAMBERTO R TORNO JR. DDS
Provider Business Mailing Address
First Line : 1222 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1408
Country : US
Telephone Number : 773-445-8177
Fax Number :
Provider Business Practice Location Address
First Line : 1222 W 95TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1408
Country : US
Telephone Number : 773-445-8177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/08/2007

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