Theresa C Simon DDS

NPI 1205050648 - Dentist - 122300000X

NPI Details
NPI 1205050648
Gender Female
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4310 CRYSTAL LAKE ROAD
SUITE B
MCHENRY IL, 60050, US
Phone (815) 344-5430
Fax (815) 344-5451
Business Location
4310 CRYSTAL LAKE ROAD
SUITE B
MCHENRY IL, 60050, US
Phone (815) 344-5430
Fax (815) 344-5451
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Ms. Theresa C Simon DDS NPI is 1205050648, taxonomy code is 122300000X Theresa C Simon DDS physically located at 4310 Crystal Lake Road, Mchenry IL, 60050. NPI Number Theresa C Simon DDS has the Individual type.

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1205050648 NPI number is provided on an as is basis without warranty of any kind. 1205050648 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa C Simon DDS are for informational purposes only.