| John Wazio, D.D.S., M.S., P.C. | |
|
403 S 3rd St St Charles IL 60174-2824 | |
| (630) 584-6050 | |
| (630) 584-6078 |
| Full Name | John Wazio, D.D.S., M.S., P.C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 403 S 3rd St, St Charles, Illinois |
| Authorized Official Name and Position | John Wazio (DOCTOR) |
| Authorized Official Contact | 6308797774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Wazio, D.D.S., M.S., P.C. 403 S 3rd St St Charles IL 60174-2824 Ph: (630) 584-6050 | John Wazio, D.D.S., M.S., P.C. 403 S 3rd St St Charles IL 60174-2824 Ph: (630) 584-6050 |
| NPI Number | 1952513889 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 05/10/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952513889 | NPI | - | NPPES |
| ========= | Other | IL | TAXID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021001849 (Illinois) | Primary |
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