institution
Affordable Dental Of Illinois
Dental Clinic/Center in Dupo, Illinois
NPI 1063552453

Affordable Dental Of Illinois is a Dental Clinic/Center based in Dupo, IL and is specialized in Dental. Affordable Dental Of Illinois practices in Dupo, IL. The NPI Number for Affordable Dental Of Illinois is 1063552453 and holds a License No. (Illinois).

The current practice location address for Affordable Dental Of Illinois is 195 S Main St, Dupo, IL and can be reached out via phone at 618-286-4400.

Location: 195 S Main St, Dupo, IL, 62239-1347
institution
Provider Profile Details
NPI Number
1063552453
Provider Name
Affordable Dental Of Illinois
Credential
Provider Entity Type
Organization
Address
195 S Main St, Dupo, IL, 62239-1347
Phone Number
618-286-4400
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1004673 05 IL
institution
Provider Business Practice Location Address Details
Address
195 S Main St
City
State
Zip
62239-1347
Phone Number
618-286-4400
Fax Number
person
Provider Business Mailing Address Details
Address
195 S Main St
City
State
Zip
62239-1347
Phone Number
618-286-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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