Individual
DR. VINCE A PENESIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 OAKBROOK CTR, #714, OAK BROOK, IL 60523-1806
(630) 654-3331
(630) 954-2910
Mailing address
120 OAKBROOK CTR, #714, OAK BROOK, IL 60523-1806
(630) 654-3331
(630) 954-2910
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019025897
IL
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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