Individual
DR. SCOTT A. SODERQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1118 N LARKIN AVE, JOLIET, IL 60435-3456
(815) 725-4070
(815) 725-4054
Mailing address
1118 N LARKIN AVE, JOLIET, IL 60435-3456
(815) 725-4070
(815) 725-4054
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002112
IL
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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