Individual
JONATHAN WILLIAM CRITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 OHIO ST, GREAT LAKES, IL 60088
(847) 688-2100
Mailing address
1088A CREEKS CROSS RD, KOHLER, WI 53044-1309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031715
IL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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