Otto F Mares D.D.S.

NPI 1003971847 - Dentist - 1223G0001X

NPI Details
NPI 1003971847
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
502 S WASHINGTON ST
DU QUOIN IL, 62832-1904, US
Phone (618) 542-3032
Fax (314) 667-5670
Business Location
502 S WASHINGTON ST
DU QUOIN IL, 62832-1904, US
Phone (618) 542-3032
Fax (314) 667-5670
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Otto F Mares D.D.S. NPI is 1003971847, taxonomy code is 1223G0001X Otto F Mares D.D.S. physically located at 502 S Washington St, Du Quoin IL, 62832-1904. NPI Number Otto F Mares D.D.S. has the Individual type.

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1003971847 NPI number is provided on an as is basis without warranty of any kind. 1003971847 is maintained by the National Plan & Provider Enumeration System. The contents of Otto F Mares D.D.S. are for informational purposes only.