Individual
DR. GARY SEXSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
272 S RANDALL RD, ALGONQUIN, IL 60102-9775
(847) 658-4907
Mailing address
9315 NICKLAUS LN, CRYSTAL LAKE, IL 60014-3341
(815) 356-9422
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019-024127
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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