Organization
JUSTIN T. DURANCIK, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TYLER DURANCIK DDS (DENTIST)
(815) 761-7159
Entity
Organization
Contact information
Practice address
619 E MAIN ST, GENOA, IL 60135-1309
(815) 784-5166
Mailing address
16488 E MCNEAL RD, MONROE CENTER, IL 61052-9719
(815) 761-7159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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