Individual
JAMES VAIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2050 MARQUETTE ROAD, PERU, IL 61354
(815) 224-1534
(815) 224-3018
Mailing address
2050 MARQUETTE ROAD, PERU, IL 61354
(815) 224-1534
(815) 224-3018
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
08/19/2006
Last updated
11/21/2007
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