Individual
DR. RICHARD ALAN DISIMONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3381 W MAIN ST, SUITE #3, SAINT CHARLES, IL 60175-1008
(630) 513-2121
(630) 584-2366
Mailing address
3381 W MAIN ST, SUITE #3, SAINT CHARLES, IL 60175-1008
(630) 513-2121
(630) 584-2366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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