Organization
DICKENS, MASON & KISSELL DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA KOHLERT (OFFICE MANAGER)
(630) 584-5444
Entity
Organization
Contact information
Practice address
2035 FOXFIELD RD, SUITE 103, ST CHARLES, IL 60174-5748
(630) 584-5444
(630) 584-5724
Mailing address
2035 FOXFIELD RD, SUITE 103, ST CHARLES, IL 60174-5748
(630) 584-5444
(630) 584-5724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19020535
IL
Other
Enumeration date
08/10/2006
Last updated
07/24/2007
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