NPI 1033249859

William L. Jesenovec, DDS

Practitioner General Practice Dentistry Waukegan, IL

Practice location

Address: 700 S Lewis Ave Suite 200, Waukegan, IL 60085-6100
Phone: (847) 336-9033
Fax: (847) 336-9093

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1033249859
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.