BRIAN R DEGISE

PEORIA, IL
NPI1083708648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
DR. BRIAN R DEGISE DDS, PC
1318 W CANDLETREE DR
PEORIA, IL 61614-1586
Phone number: 309-691-9171
Mailing Address
DR. BRIAN R DEGISE DDS, PC
1318 W CANDLETREE DR
PEORIA, IL 61614-1586
Phone number: 309-691-9171