Organization
JOHN F. PERISIN DMD P.C.
Active
Other names
St. Charles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PERISIN (OWNER)
(309) 369-7235
Entity
Organization
Contact information
Practice address
516 E MAIN ST, ST CHARLES, IL 60174-2133
(630) 377-3131
Mailing address
2608 W SESAME ST, DUNLAP, IL 61525-7527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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