Mark J Amidei, DDC Valid NPI

Individual provider · General Practice Dentistry · Gurnee, IL

NPI

1306916143

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

Sex

Male

Sole proprietor

No

Enumerated

2006-11-09

Last updated

2007-07-08