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Organization
ROSCOE FAMILY DENTAL CENTER, P.C.
Active
Organization
ROSCOE FAMILY DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAUGHN DE GUZMAN (DENTIST)
(815) 623-7366
Entity
Organization
Contact information
Practice address
5640 CLAYTON CIR, ROSCOE, IL 61073-9503
(815) 623-7366
(815) 623-7331
Mailing address
5640 CLAYTON CIR, P.O. BOX 967, ROSCOE, IL 61073-9503
(815) 623-7366
(815) 623-7331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060009728
IL
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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