DR. David R Deforest, DDS

NPI #1487734281 in Oregon, Illinois

Provider Information

NPI Number: 1487734281
Entity Type: Individual
Name: DR. David R Deforest, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 606 W WASHINGTON ST
City: Oregon
State: Illinois
ZIP Code: 61061
Phone: (815) 732-3225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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