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Individual

DR. MICHAEL MAURO NEGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
645 PLAZA DR, SYCAMORE, IL 60178-2719
(815) 895-2298
Mailing address
645 PLAZA DR, SYCAMORE, IL 60178-2719
(815) 895-2298

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032363
IL
1223G0001X
General Practice Dentistry
1001277
WI
1223G0001X
General Practice Dentistry
62440
CA

Other

Enumeration date
06/14/2013
Last updated
09/02/2021
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