Individual
DR. JOHN JAMES DERANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
360 1ST ST, LA SALLE, IL 61301-2356
(815) 223-9057
(815) 223-9248
Mailing address
360 FIRST ST, LASALLE, IL 61301
(815) 223-9057
(815) 223-9248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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