Generand Carandang Algenio, DDS, MS Valid NPI

Individual provider · Pediatric Dentistry · New Lenox, IL

NPI

1164820544

Type

Individual (Type 1)

Primary specialty

Pediatric Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0221X

License number

021002001 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2014-12-16

Last updated

2022-04-12