Organization
JOHN A. MARSALA D.D.S. ; LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A MARSALA D.D.S. (PRESIDENT)
(630) 310-4897
Entity
Organization
Contact information
Practice address
8225 GRAND AVE, RIVER GROVE, IL 60171-1517
(630) 310-4897
Mailing address
8225 GRAND AVE, RIVER GROVE, IL 60171-1517
(630) 310-4897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-18724
IL
Other
Enumeration date
08/22/2008
Last updated
11/30/2009
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