Johnsburg Dental Center

NPI #1184823569 in Johnsburg, Illinois

Provider Information

NPI Number
1184823569
Entity Type
Organization
Organization Name
Johnsburg Dental Center
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 16, 2007
Last Updated
Jul 16, 2007

Practice Location

Address
4113 JOHNSBURG ROAD
ZIP Code
60050-2123
Phone
(815) 344-0028

Authorized Official

Name
DR. CONRAD WALTER MAZESKI, DDS
Title
PRESIDENT
Phone
(815) 344-0028

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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