Individual
JOHN BRESCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7411 LAKE ST, STE L-100, RIVER FOREST, IL 60305-1876
(708) 366-0424
Mailing address
7411 LAKE ST, STE L-100, RIVER FOREST, IL 60305-1876
(708) 366-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01916649
IL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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