Organization
JOHN R. MARINUCCI, D.DS., LTD.
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROCCO MARINUCCI D.D.S. (PRESIDENT)
(708) 754-7505
Entity
Organization
Contact information
Practice address
414 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1739
(708) 754-7505
(708) 754-5576
Mailing address
414 DIXIE HWY, CHICAGO HEIGHTS, IL 60411-1739
(708) 754-7505
(708) 754-5576
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019013059
IL
Other
Enumeration date
05/24/2007
Last updated
02/07/2012
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