Dr. Ralph J Derango III, DMD
Dentist in Bartlett, IL. Individual provider (NPI-1).
NPI number1962707620
StatusActive
Last updated in NPPESJan 11, 2011
Details
- NPI
- 1962707620
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ralph J Derango III
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2011
- Last updated
- Jan 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 019021312 | IL | Yes |
Practice location
104 S Oak AveBartlett, IL 60103-4057
Phone 630-483-9194 · Fax 630-483-1197
Mailing address
104 S Oak AveBartlett, IL 60103-4057
Phone 630-483-9194 · Fax 630-483-1197
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