122300000X
St Charles, IL
Specialty
122300000X
Credential
D.D.S.
NPI
1447272711
2210 Dean St, St Charles, IL 60175
(630) 584-9800Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 122300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 122300000X