Individual
RAY FIOCCHI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2685 WAUKEGAN AVE, HIGHLAND PARK, IL 60035-1430
(847) 432-1111
Mailing address
2685 WAUKEGAN AVE, HIGHLAND PARK, IL 60035-1430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018187
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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