Dr. Douglas V. Janis, D.D.S.
Dentist, Pediatric Dentistry in St Charles, IL. Individual provider (NPI-1).
NPI number1861666331
StatusActive
Last updated in NPPESSep 18, 2018
Details
- NPI
- 1861666331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas V. Janis
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2008
- Last updated
- Sep 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 021001396 | IL | Yes |
Practice location
40w320 Lafox Rd Ste ASt Charles, IL 60175-6545
Phone 630-232-6661
Mailing address
1705 South StGeneva, IL 60134-2583
Phone 630-232-6661
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