institution
Edwardsville Family Dentist
Dental Clinic/Center in Edwardsville, Illinois
NPI 1063899417

Edwardsville Family Dentist is a Dental Clinic/Center based in Edwardsville, IL and is specialized in Dental. Edwardsville Family Dentist practices in Edwardsville, IL. The NPI Number for Edwardsville Family Dentist is 1063899417 and holds a License No. 019028093 (Illinois).

The current practice location address for Edwardsville Family Dentist is 1811 Lindenwood Ave, Edwardsville, IL and can be reached out via phone at 618-659-0456.

Location: 1811 Lindenwood Ave, Edwardsville, IL, 62025-2580
institution
Provider Profile Details
NPI Number
1063899417
Provider Name
Edwardsville Family Dentist
Credential
Provider Entity Type
Organization
Address
1811 Lindenwood Ave, Edwardsville, IL, 62025-2580
Phone Number
618-659-0456
Fax Number
Provider Enumeration Date
05/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1811 Lindenwood Ave
City
State
Zip
62025-2580
Phone Number
618-659-0456
Fax Number
person
Provider Business Mailing Address Details
Address
1811 Lindenwood Ave
City
State
Zip
62025-2580
Phone Number
618-659-0456
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019028093 (Illinois)
Definition
Definition to come...
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