Elio Reyes Rosales D.D.S., M.S.D.

NPI 1285991935 - Dentist - 122300000X

NPI Details
NPI 1285991935
Gender Male
Enumeration Date 04/19/2012
Last Updated 04/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
11 PARK PL
SUITE A
SWANSEA IL, 62226-2925, US
Phone (618) 233-7300
Fax
Business Location
933 ESIC DR
EDWARDSVILLE IL, 62025-3813, US
Phone (314) 724-4852
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019027808
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According to our database, Elio Reyes Rosales D.D.S., M.S.D. NPI is 1285991935, taxonomy code is 122300000X and license number is 019027808, license state is located at Illinois. Elio Reyes Rosales D.D.S., M.S.D. physically located at 11 Park Pl, Swansea IL, 62226-2925. NPI Number Elio Reyes Rosales D.D.S., M.S.D. has the Individual type.

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1285991935 NPI number is provided on an as is basis without warranty of any kind. 1285991935 is maintained by the National Plan & Provider Enumeration System. The contents of Elio Reyes Rosales D.D.S., M.S.D. are for informational purposes only.