| Timothy J. Kiczenski, D.d.s., Ltd. | |
|
140 E Commercial St Wood Dale IL 60191-1582 | |
| (630) 766-2223 | |
| Not Available |
| Full Name | Timothy J. Kiczenski, D.d.s., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 E Commercial St, Wood Dale, Illinois |
| Authorized Official Name and Position | Timothy John Kiczenski (PRESIDENT) |
| Authorized Official Contact | 6307662223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Kiczenski, D.d.s., Ltd. 140 E Commercial St Wood Dale IL 60191-1582 Ph: (630) 766-2223 | Timothy J. Kiczenski, D.d.s., Ltd. 140 E Commercial St Wood Dale IL 60191-1582 Ph: (630) 766-2223 |
| NPI Number | 1417089277 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417089277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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