Individual
DR. JOHN WAZIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
403 S 3RD ST, ST CHARLES, IL 60174-2824
(630) 584-6050
(630) 584-6050
Mailing address
403 S 3RD ST, ST CHARLES, IL 60174-2824
(630) 879-7774
(630) 584-6078
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019022816
IL
Other
Enumeration date
09/05/2012
Last updated
05/10/2024
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