Individual
JUANA CECILIA RYCKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
202 VANCINA LN, NEW LENOX, IL 60451-9531
(815) 348-9617
Mailing address
202 VANCINA LN, NEW LENOX, IL 60451-9531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019032630
IL
Other
Enumeration date
09/14/2020
Last updated
11/05/2024
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