Individual
DR. MATTHEW C DZIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5640 CLAYTON CIR, ROSCOE, IL 61073-9503
(815) 623-7366
(815) 623-7331
Mailing address
5640 CLAYTON CIR, PO BOX 967, ROSCOE, IL 61073-9503
(815) 623-7366
(815) 623-7331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030880
IL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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