Individual
DERIC TRUSKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
801 S FINANCIAL PL APT 2317, CHICAGO, IL 60605-1791
(815) 830-2809
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.032032
IL
Other
Enumeration date
04/26/2018
Last updated
09/29/2023
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