DR. Michael E Risty, DDS

NPI #1952503765 in Plainfield, Illinois

Provider Information

NPI Number
1952503765
Entity Type
Individual
Name
DR. Michael E Risty, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
13544 W. ROUTE 30
Address 2
UNIT A
ZIP Code
60585
Phone
(815) 577-9000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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