John Micaletti, D.D.S., M.S.

NPI #1912124660 in Clarendon Hills, Illinois

Provider Information

NPI Number
1912124660
Entity Type
Individual
Name
John Micaletti, D.D.S., M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
D.D.S., M.S.
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
115 55TH ST
Address 2
SUITE 201
ZIP Code
60514-1593
Phone
(630) 789-0900

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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