New Day Family Dental Llc

NPI 1013288703 - Dentist - 122300000X

NPI Details
NPI 1013288703
Enumeration Date 01/26/2012
Last Updated 06/05/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name FORREST FORREST
Position OWNER
Phone (618) 222-8887
Fax
Practice Location
5899 N BELT W
BELLEVILLE IL, 62226-4600, US
Phone (618) 222-8887
Fax
Business Location
5899 N BELT W
BELLEVILLE IL, 62226-4600, US
Phone (618) 222-8887
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019026532
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According to our database, New Day Family Dental Llc NPI is 1013288703, taxonomy code is 122300000X and license number is 019026532, license state is located at Illinois. New Day Family Dental Llc physically located at 5899 N Belt W, Belleville IL, 62226-4600. NPI Number 1033115704 has the healthcare provider type.

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1013288703 NPI number is provided on an as is basis without warranty of any kind. 1013288703 is maintained by the National Plan & Provider Enumeration System. The contents of New Day Family Dental Llc are for informational purposes only.