Individual
DR. JOHN CONRAD MASTRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15947 W 127TH ST, SUITE H, LEMONT, IL 60439-7421
(630) 257-2133
(630) 257-2146
Mailing address
15947 W. 127TH STREET, SUITE H, LEMONT, IL 60439
(630) 257-2133
(630) 257-2146
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023242
IL
Other
Enumeration date
02/23/2007
Last updated
10/21/2014
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