DR. William G Mitsos, DDS

NPI #1194912709 in Kankakee, Illinois

Provider Information

NPI Number: 1194912709
Entity Type: Individual
Name: DR. William G Mitsos, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 27, 2007
Last Updated: Sep 27, 2007

Practice Location

Address: 1291 S SEVENTH AVE
City: Kankakee
State: Illinois
ZIP Code: 60901
Phone: (815) 932-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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