Individual
DR. PAUL JOHN DENEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3450 LACY ROAD, DOWNERS GROVE, IL 60515-4520
(630) 743-4967
Mailing address
3450 LACY ROAD, SUITE 202B, DOWNERS GROVE, IL 60515-4520
(630) 743-4967
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019022926
IL
Other
Enumeration date
12/22/2008
Last updated
08/19/2016
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