Individual
DR. NAOSHI HOSOMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 W LAKE ST, ADDISON, IL 60101-2513
(630) 628-3115
Mailing address
200 W LAKE ST, ADDISON, IL 60101-2513
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019030354
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1855510
MA
Other
Enumeration date
07/23/2010
Last updated
07/28/2015
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