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Individual

DR. DONALD RAY BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2403 E OAK GROVE RD, BYRON, IL 61010-9575
(815) 234-2567
Mailing address
2403 E OAK GROVE RD, BYRON, IL 61010-9575
(815) 234-2567

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-16454
IL

Other

Enumeration date
09/25/2006
Last updated
02/11/2009
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