Thomas J Skiba D.D.S.

NPI 1912918608 - Dentist - 1223S0112X

NPI Details
NPI 1912918608
Gender Male
Enumeration Date 08/10/2006
Last Updated 10/27/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
690 NORTH ROUTE 31
CRYSTAL LAKE IL, 60012, US
Phone (815) 459-5600
Fax (815) 459-5601
Business Location
690 NORTH ROUTE 31
CRYSTAL LAKE IL, 60012, US
Phone (815) 459-5600
Fax (815) 459-5601
Toxanomy
Taxonomy Code 1223S0112X
License State Wisconsin
License Number 1786-G
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According to our database, Thomas J Skiba D.D.S. NPI is 1912918608, taxonomy code is 1223S0112X and license number is 1786-G, license state is located at Wisconsin. Thomas J Skiba D.D.S. physically located at 690 North Route 31, Crystal Lake IL, 60012. NPI Number Thomas J Skiba D.D.S. has the Individual type.

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1912918608 NPI number is provided on an as is basis without warranty of any kind. 1912918608 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas J Skiba D.D.S. are for informational purposes only.