Diane V Caruso, DDS
NPI #1982877288 in Bloomington, Illinois
Provider Information
- NPI Number
- 1982877288
- Entity Type
- Individual
- Name
- Diane V Caruso, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 200 W FRONT ST STE 304
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5067
- Phone
- (309) 888-5454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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