Individual
BERRETT CHESTLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3419 ORCHARD RD, OSWEGO, IL 60543-5005
(331) 717-0251
Mailing address
1270 LILY CACHE LN APT 108, BOLINGBROOK, IL 60490-4611
(708) 359-3544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034349
IL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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