LARISA BANDURA

CHICAGO, IL
NPI1841373230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019019463)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
Mrs. LARISA BANDURA DDS
945 N WESTERN AVE
CHICAGO, IL 60622
Phone number: 773-276-5203
Mailing Address
Mrs. LARISA BANDURA DDS
2141 W AUGUSTA BLVD
CHICAGO, IL 60622-4837
Phone number: 773-489-0512