Charles R Soderquist, DDS

NPI #1942390364 in River Grove, Illinois

Provider Information

NPI Number: 1942390364
Entity Type: Individual
Name: Charles R Soderquist, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8383 W BELMONT AVENUE
Address 2: SUITE 200
City: River Grove
State: Illinois
ZIP Code: 60171-1083
Phone: (708) 453-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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