Organization
JOHN B CALDIERARO III, DMD, PC
Active
Other names
Caldieraro Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B CALDIERARO III DMD (OWNER)
(618) 635-8333
Entity
Organization
Contact information
Practice address
20657 STAUNTON RD, STAUNTON, IL 62088-4350
(618) 635-8333
Mailing address
20657 STAUNTON RD, STAUNTON, IL 62088-4350
(618) 635-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027703
IL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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