Individual
CONCETTA ANGELA MANIACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1306 DEVONSHIRE DR S, SYCAMORE, IL 60178-3257
(815) 501-4092
Mailing address
1306 DEVONSHIRE DR S, SYCAMORE, IL 60178-3257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034216
IL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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