Lifetime Dental Care Of Illinois, Pc

NPI 1023230281 - Dentist - 1223G0001X

NPI Details
NPI 1023230281
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMY AMY
Position INS COOD
Phone (618) 549-2273
Fax (618) 351-0212
Practice Location
1001 E MAIN
CARBONDALE IL, 62901, US
Phone (618) 549-2273
Fax (618) 351-0212
Business Location
1001 E MAIN
CARBONDALE IL, 62901, US
Phone (618) 549-2273
Fax (618) 351-0212
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Lifetime Dental Care Of Illinois, Pc NPI is 1023230281, taxonomy code is 1223G0001X Lifetime Dental Care Of Illinois, Pc physically located at 1001 E Main, Carbondale IL, 62901. NPI Number 1033115704 has the healthcare provider type.

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1023230281 NPI number is provided on an as is basis without warranty of any kind. 1023230281 is maintained by the National Plan & Provider Enumeration System. The contents of Lifetime Dental Care Of Illinois, Pc are for informational purposes only.