institution
Kellerman Dental Group, Pc
Customized Equipment (DME) in Glen Carbon, Illinois
NPI 1538543582

Kellerman Dental Group, Pc is a Customized Equipment (DME) based in Glen Carbon, IL and is specialized in Customized Equipment. Kellerman Dental Group, Pc practices in Glen Carbon, IL. The NPI Number for Kellerman Dental Group, Pc is 1538543582 and holds a License No. 019025862 (Illinois).

The current practice location address for Kellerman Dental Group, Pc is 16 Junction Dr W Ste 101, Glen Carbon, IL and can be reached out via phone at 618-288-3535 and via fax at 618-288-3434.

Location: 16 Junction Dr W Ste 101, Glen Carbon, IL, 62034-2996
institution
Provider Profile Details
NPI Number
1538543582
Provider Name
Kellerman Dental Group, Pc
Credential
Provider Entity Type
Organization
Address
16 Junction Dr W Ste 101, Glen Carbon, IL, 62034-2996
Phone Number
618-288-3535
Fax Number
618-288-3434
Provider Enumeration Date
07/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Junction Dr W Ste 101
City
State
Zip
62034-2996
Phone Number
618-288-3535
Fax Number
618-288-3434
person
Provider Business Mailing Address Details
Address
16 Junction Dr W Ste 101
City
State
Zip
62034-2996
Phone Number
618-288-3535
Fax Number
618-288-3434
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
019025862 (Illinois)
Definition
Definition to come...
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