JACKSON KUO

CHAMPAIGN, IL
NPI1568591758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019025679)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Dr. JACKSON KUO DDS
703 S NEIL ST
CHAMPAIGN, IL 61820-5223
Phone number: 217-398-2244
Mailing Address
Dr. JACKSON KUO DDS
703 S NEIL ST
CHAMPAIGN, IL 61820-5223
Phone number: 217-398-2244