Individual
ALEXANDER SJUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
Mailing address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032143
IL
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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