Individual
JOSEPH EDWARD KIZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4326 PRINCE ST, DOWNERS GROVE, IL 60515
(630) 964-0115
(630) 964-0161
Mailing address
4326 PRINCE ST, DOWNERS GROVE, IL 60515
(630) 964-0115
(630) 964-0161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019012142
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021000515
IL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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