Ricardo G Tapiador, DMD Valid NPI

Individual provider · General Practice Dentistry · Waukegan, IL

NPI

1568410116

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

19-A15676 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-05

Last updated

2007-07-08