Individual
DR. PAUL EDWARD DIFRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1129 HARLEM AVE, FOREST PARK, IL 60130-2381
(708) 366-7846
Mailing address
1129 HARLEM AVE, FOREST PARK, IL 60130-2381
(708) 366-7846
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.027901
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002577
IL
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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