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Individual

DR. EMIL A MOMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
5472 REIMER DR, ROSCOE, IL 61073-9228
(815) 623-2193
(815) 623-8804
Mailing address
5472 REIMER DR, ROSCOE, IL 61073-9228
(815) 623-2193
(815) 623-8804

Taxonomy

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

Other

Enumeration date
11/16/2007
Last updated
11/16/2007
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