DR. John Conrad Mastrud, D.D.S.

NPI #1366577652 in Lemont, Illinois

Provider Information

NPI Number: 1366577652
Entity Type: Individual
Name: DR. John Conrad Mastrud, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 23, 2007
Last Updated: Oct 21, 2014

Practice Location

Address: 15947 W 127TH ST
Address 2: SUITE H
City: Lemont
State: Illinois
ZIP Code: 60439-7421
Phone: (630) 257-2133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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