DR. Brian R Degise, DDS, PC

NPI #1083708648 in Peoria, Illinois

Provider Information

NPI Number
1083708648
Entity Type
Individual
Name
DR. Brian R Degise, DDS, PC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS, PC
Enumeration Date
Oct 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1318 W CANDLETREE DR
City
Peoria
ZIP Code
61614-1586
Phone
(309) 691-9171

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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