Individual
DR. JONATHAN MARK DINGELDEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1204 HWY 164 E, OQUAWKA, IL 61469
(309) 867-2770
Mailing address
1204 HIGHWAY 164 EAST, PO BOX 198, OQUAWKA, IL 61469
(309) 867-2770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-029104
IL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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