Individual
JOSEPH VINCENT CELLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 E LASALLE AVE, SOUTH BEND, IN 46617-2818
(574) 367-7000
Mailing address
14340 JEFFERSON AVE APT 3S, ORLAND PARK, IL 60462-5367
(708) 372-8128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032070
IL
122300000X
Dentist
Primary
12013214A
IN
Other
Enumeration date
06/14/2019
Last updated
06/20/2019
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