Individual
ANDREW HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
636 W JEFFERSON ST, MORTON, IL 61550
(309) 263-8317
Mailing address
636 W JEFFERSON ST, MORTON, IL 61550
(309) 263-8317
(920) 787-4737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001807-15
WI
1223G0001X
General Practice Dentistry
Primary
019034015
IL
Other
Enumeration date
05/30/2018
Last updated
02/20/2023
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