DR. John Joseph Illuminati, DDS
NPI #1225216278 in South Portland, Maine
Provider Information
- NPI Number
- 1225216278
- Entity Type
- Individual
- Name
- DR. John Joseph Illuminati, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 1, 2008
- Last Updated
- Feb 1, 2008
Practice Location
- Address
- 20 LONG CREEK DR
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106
- Phone
- (207) 761-4010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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