DR. Otto F Mares, D.D.S.

NPI #1003971847 in Du Quoin, Illinois

Provider Information

NPI Number: 1003971847
Entity Type: Individual
Name: DR. Otto F Mares, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 502 S WASHINGTON ST
City: Du Quoin
State: Illinois
ZIP Code: 62832-1904
Phone: (618) 542-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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