Individual
DR. JOHN M YACCINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 W LOSEY ST, 375 DENTAL SQUADRON, SCOTT AFB, IL 62225-5250
(618) 256-6667
Mailing address
779 WHITE HORSE LN, O FALLON, IL 62269-6833
(618) 628-9907
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
IL
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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