Ginger Creek Dental Llc

NPI 1023323623 - Dentist - 1223G0001X

NPI Details
NPI 1023323623
Enumeration Date 08/09/2010
Last Updated 08/09/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DAVID DAVID
Position DENTIST
Phone (618) 692-1110
Fax
Practice Location
24 GINGER CREEK PKWY
GLEN CARBON IL, 62034-3502, US
Phone (618) 692-1110
Fax
Business Location
24 GINGER CREEK PKWY
GLEN CARBON IL, 62034-3502, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019025281
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According to our database, Ginger Creek Dental Llc NPI is 1023323623, taxonomy code is 1223G0001X and license number is 019025281, license state is located at Illinois. Ginger Creek Dental Llc physically located at 24 Ginger Creek Pkwy, Glen Carbon IL, 62034-3502. NPI Number 1033115704 has the healthcare provider type.

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1023323623 NPI number is provided on an as is basis without warranty of any kind. 1023323623 is maintained by the National Plan & Provider Enumeration System. The contents of Ginger Creek Dental Llc are for informational purposes only.