William Mitsos DDS

NPI #1558978841 in Kankakee, Illinois

Provider Information

NPI Number: 1558978841
Entity Type: Organization
Organization Name: William Mitsos DDS
Primary Specialty: Dentist
Enumeration Date: Sep 30, 2020
Last Updated: Sep 30, 2020

Practice Location

Address: 1291 S. 7TH AVE
City: Kankakee
State: Illinois
ZIP Code: 60901
Phone: (815) 932-0022

Authorized Official

Name: WILLIAM MITSOS, D.D.S.
Title: OWNER
Phone: (815) 932-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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