DR. Henry Vicioso, D.D.S.

NPI #1932129723 in Shorewood, Illinois

Provider Information

NPI Number
1932129723
Entity Type
Individual
Name
DR. Henry Vicioso, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jul 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
607 W JEFFERSON ST
ZIP Code
60431-9701
Phone
(815) 725-5991

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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