Gerald Allen Dismer DDS

NPI 1053301895 - Dentist - 1223G0001X

NPI Details
NPI 1053301895
Gender Male
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2400 BELVIDERE RD
WAUKEGAN IL, 60085-6165, US
Phone (847) 377-8581
Fax (847) 360-9930
Business Location
2400 BELVIDERE RD
WAUKEGAN IL, 60085-6165, US
Phone (847) 377-8581
Fax (847) 360-9930
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19A15751
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According to our database, Dr. Gerald Allen Dismer DDS NPI is 1053301895, taxonomy code is 1223G0001X and license number is 19A15751, license state is located at Illinois. Gerald Allen Dismer DDS physically located at 2400 Belvidere Rd, Waukegan IL, 60085-6165. NPI Number Gerald Allen Dismer DDS has the Individual type.

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1053301895 NPI number is provided on an as is basis without warranty of any kind. 1053301895 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Allen Dismer DDS are for informational purposes only.