DR. Russell John Proesel, DDS

NPI #1568563666 in Mt Zion, Illinois

Provider Information

NPI Number: 1568563666
Entity Type: Individual
Name: DR. Russell John Proesel, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 420 BROADWAY
City: Mt Zion
State: Illinois
ZIP Code: 62549
Phone: (217) 864-5744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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