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Grand View Dental Arts, Llc
Dental Clinic/Center in Edwardsville, Illinois
NPI 1033631882

Grand View Dental Arts, Llc is a Dental Clinic/Center based in Edwardsville, IL and is specialized in Dental. Grand View Dental Arts, Llc practices in Edwardsville, IL. The NPI Number for Grand View Dental Arts, Llc is 1033631882 and holds a License No. 019024683 (Illinois).

The current practice location address for Grand View Dental Arts, Llc is 201 S Main St, Edwardsville, IL and can be reached out via phone at 618-656-4202 and via fax at 618-656-6580.

Location: 201 S Main St, Edwardsville, IL, 62025-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033631882
Provider Name
Grand View Dental Arts, Llc
Credential
Provider Entity Type
Organization
Address
201 S Main St, Edwardsville, IL, 62025-1921
Phone Number
618-656-4202
Fax Number
618-656-6580
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649322561 01 IL GENERAL DENTIST
institution
Provider Business Practice Location Address Details
Address
201 S Main St
City
Edwardsville
State
Illinois
Zip
62025-1921
Phone Number
618-656-4202
Fax Number
618-656-6580
person
Provider Business Mailing Address Details
Address
201 S Main St
City
Edwardsville
State
Illinois
Zip
62025-1921
Phone Number
618-656-4202
Fax Number
618-656-6580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019024683 (Illinois)
Definition
Definition to come...
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