JUSTIN R DEGUZMAN

CHICAGO, IL
NPI1780315952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.033804)
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
JUSTIN R DEGUZMAN
2511 N MILWAUKEE AVE
CHICAGO, IL 60647-3883
Phone number: 916-740-0436
Mailing Address
JUSTIN R DEGUZMAN
2511 N MILWAUKEE AVE
CHICAGO, IL 60647-3883
Phone number: 916-740-0436