Individual
NICHOLAS RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1326 MAIN ST STE A, ANTIOCH, IL 60002-2181
(847) 395-6166
Mailing address
1326 MAIN ST STE A, ANTIOCH, IL 60002-2181
(847) 395-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020361
IL
Other
Enumeration date
06/27/2007
Last updated
02/01/2010
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