Individual
DR. JOHN BATISTA CALDIERARO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20657 STAUNTON RD, STAUNTON, IL 62088-4350
(618) 635-8333
Mailing address
20657 STAUNTON RD, STAUNTON, IL 62088-4350
(618) 635-8333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027703
IL
1223G0001X
General Practice Dentistry
Primary
019.027703
IL
Other
Enumeration date
06/27/2008
Last updated
09/16/2022
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