| John J Brescia DDS, PC | |
|
7411 Lake St Ste L100 River Forest IL 60305-1940 | |
| (708) 366-0424 | |
| Not Available |
| Full Name | John J Brescia DDS, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7411 Lake St Ste L100, River Forest, Illinois |
| Authorized Official Name and Position | John J Brescia (PRESIDENT) |
| Authorized Official Contact | 7083660424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Brescia DDS, PC 7411 Lake St Ste L100 River Forest IL 60305-1940 Ph: (708) 366-0424 | John J Brescia DDS, PC 7411 Lake St Ste L100 River Forest IL 60305-1940 Ph: (708) 366-0424 |
| NPI Number | 1154549160 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154549160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016649 (Illinois) | Primary |
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