Individual
KEVIN G WEGRZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4811 W CRYSTAL LAKE RD, MCHENRY, IL 60050-5412
(815) 385-4411
(815) 385-4485
Mailing address
4811 W CRYSTAL LAKE RD, PO BOX 1690, MCHENRY, IL 60050-5412
(815) 385-4411
(815) 385-4485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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