Individual
KYLE VILAYSANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2001 LARKIN AVE STE 120, ELGIN, IL 60123-5808
(847) 697-1111
Mailing address
2962 SHAMROCK DR, ELGIN, IL 60124-4354
(224) 717-1798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033646
IL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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