Organization
BRYAN R. CICHON DDS PC
Active
Other names
Randall Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN R. CICHON DDS (OWNER/DENTIST)
(630) 587-2600
Entity
Organization
Contact information
Practice address
700 S. RANDALL RD., SUITE #1, ST. CHARLES, IL 60174
(630) 587-2600
(630) 587-2605
Mailing address
700 S. RANDALL RD., SUITE #1, ST. CHARLES, IL 60174
(630) 587-2600
(630) 587-2605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023433
IL
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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