Richard M Janiczek DDS

NPI 1023139425 - Dentist - 1223G0001X

NPI Details
NPI 1023139425
Gender Male
Enumeration Date 04/03/2007
Last Updated 03/14/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
10359 RIDGELAND AVE
CHICAGO RIDGE IL, 60415-1585, US
Phone (708) 422-1002
Fax (708) 422-1002
Business Location
10359 RIDGELAND AVE
CHICAGO RIDGE IL, 60415-1585, US
Phone (708) 422-1002
Fax (708) 422-1002
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Richard M Janiczek DDS NPI is 1023139425, taxonomy code is 1223G0001X Richard M Janiczek DDS physically located at 10359 Ridgeland Ave, Chicago Ridge IL, 60415-1585. NPI Number Richard M Janiczek DDS has the Individual type.

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1023139425 NPI number is provided on an as is basis without warranty of any kind. 1023139425 is maintained by the National Plan & Provider Enumeration System. The contents of Richard M Janiczek DDS are for informational purposes only.