Individual
DR. MARK J DARGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5001 N 2ND ST, LOVES PARK, IL 61111-5808
(815) 639-6281
Mailing address
5001 N 2ND ST, LOVES PARK, IL 61111-5808
(815) 639-6281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-016662
IL
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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