Individual
KELSEY JAMES CARRERAS-SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 PEORIA ST, WASHINGTON, IL 61571-2543
(309) 444-3811
Mailing address
651 HARDING ROAD, UNIT 204H, MORTON, IL 61550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033584
IL
Other
Enumeration date
03/28/2022
Last updated
07/10/2023
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