Most Relevant Information
Provider Data
| NPI Number: | 1003072844 |
| Provider Name: | JACK CARMEN SASSO DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | A11318 |
Most Important Dates
| Enumeration Date: | 07/31/2008 |
| Last Updated: | 07/31/2008 |
Provider Practice Location
7350 W COLLEGE DR
PALOS HGTS
IL
604631188
Practice Location Phone/Fax
| Phone: | 7084481019 |
| Fax: | 7084488097 |
Provider Mailing Location
7350 W COLLEGE DR
PALOS HGTS
IL
604631188
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |