Justin R Deguzman
Justin R Deguzman is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
2511 N Milwaukee AveChicago, IL 60647-3883
Phone: (916) 740-0436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.033804 (IL) |
|---|
Record details
| NPI number | 1780315952 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 20, 2022 |
| Last updated in NPPES | June 20, 2022 |
| Certification date | June 20, 2022 |
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