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Individual
DAVID JOEL REISBERG
Active
Individual
DAVID JOEL REISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019017383
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019-017383
IL
Other
Enumeration date
10/25/2006
Last updated
12/09/2019
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