Organization
JOHN WAZIO, D.D.S., M.S., P.C.
Active
Organization
JOHN WAZIO, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WAZIO JR. D.D.S., M.S. (DOCTOR)
(630) 879-7774
Entity
Organization
Contact information
Practice address
403 S 3RD ST, ST CHARLES, IL 60174-2824
(630) 584-6050
(630) 584-6078
Mailing address
403 S 3RD ST, ST CHARLES, IL 60174-2824
(630) 584-6050
(630) 584-6078
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
TAXID#
IL
Enumeration date
05/04/2007
Last updated
05/10/2024
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