Russel Lee Skyles, D.D.S.

NPI #1871757807 in Mt Prospect, Illinois

Provider Information

NPI Number: 1871757807
Entity Type: Individual
Name: Russel Lee Skyles, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 18, 2008
Last Updated: Jul 18, 2008

Practice Location

Address: 200 E EVERGREEN AVE
Address 2: SUITE 129
City: Mt Prospect
State: Illinois
ZIP Code: 60056-3240
Phone: (847) 259-7560

Specialties & Taxonomy Codes

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

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