DR. Charles L. Proesel JR., D.D.S.

NPI #1972508364 in Gridley, Illinois

Provider Information

NPI Number
1972508364
Entity Type
Individual
Name
DR. Charles L. Proesel JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Dental Public Health
Credential
D.D.S.
Enumeration Date
Jun 14, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
205 E GRIDLEY RD
ZIP Code
61744-8733
Phone
(309) 747-2213

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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