Individual
DR. DAVID R DEFOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
606 W WASHINGTON ST, OREGON, IL 61061
(815) 732-3225
(815) 732-3277
Mailing address
606 W WASHINGTON ST, OREGON, IL 61061
(815) 732-3225
(815) 732-3277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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