Organization
JOHNSBURG DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD WALTER MAZESKI DDS (PRESIDENT)
(815) 344-0028
Entity
Organization
Contact information
Practice address
4113 JOHNSBURG ROAD, JOHNSBURG, IL 60050-2123
(815) 344-0028
(815) 344-2466
Mailing address
4113 JOHNSBURG ROAD, JOHNSBURG, IL 60050-2123
(815) 344-0028
(815) 344-2466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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