Individual
DR. MARISSA DZIEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
39 E COLORADO AVE, FRANKFORT, IL 60423-1385
(708) 789-9289
Mailing address
242 SHAWNEE CT, BARTLETT, IL 60103-2025
(630) 479-9230
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002906
IL
Other
Enumeration date
01/13/2017
Last updated
01/03/2019
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