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Individual

DR. KORY ALYN WAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2158 RANDALL RD, CARPENTERSVILLE, IL 60110-3345
(847) 426-9432
Mailing address
2563 SYCAMORE RD, DEKAMORE, IL 60115
(847) 426-9432

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028404
IL

Other

Enumeration date
07/15/2010
Last updated
08/09/2010
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