Organization
JOHN J BRESCIA DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BRESCIA D.D.S. (PRESIDENT)
(708) 366-0424
Entity
Organization
Contact information
Practice address
7411 LAKE ST STE L100, RIVER FOREST, IL 60305-1940
(708) 366-0424
Mailing address
7411 LAKE ST STE L100, RIVER FOREST, IL 60305-1940
(708) 366-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016649
IL
Other
Enumeration date
04/23/2007
Last updated
11/04/2015
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