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Individual

DR. RONALD EUGENE MIJEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
33 S ADDISON RD, 103, ADDISON, IL 60101-3868
(630) 941-3316
(630) 941-7020
Mailing address
33 S ADDISON RD, 103, ADDISON, IL 60101-3868
(630) 941-3316
(630) 941-7020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
07/28/2006
Last updated
07/08/2007
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