BRIAN R DEGISE

PEORIA, IL
NPI1083708648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  021-001599)
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
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