Individual
DR. SEBASTIAN JOHN PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
208 NORTH IDA, WEST FRANKFORT, IL 62896
(618) 937-2737
(618) 932-3107
Mailing address
PO BOX 334, WEST FRANKFORT, IL 62896
(618) 937-2737
(618) 932-3107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
012337
MO
122300000X
Dentist
Primary
019 15230
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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