Individual
MR. ANTHONY DOHSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019-021752
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.021752
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021.001714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019-021752
—
IL
Enumeration date
11/14/2006
Last updated
06/16/2010
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