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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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