Wood River Dental Group Llc

NPI 1528458809 - Dentist - 1223G0001X

NPI Details
NPI 1528458809
Enumeration Date 01/26/2015
Last Updated 01/26/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DAVID DAVID
Position OWNER/DENTIST
Phone (618) 259-5200
Fax
Practice Location
1075 HARRISON ST
WOOD RIVER IL, 62095-1867, US
Phone (618) 259-5200
Fax
Business Location
1922 EDWARDSVILLE CLUB PLAZA CT
EDWARDSVILLE IL, 62025-3717, US
Phone (618) 248-2038
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Wood River Dental Group Llc NPI is 1528458809, taxonomy code is 1223G0001X Wood River Dental Group Llc physically located at 1075 Harrison St, Wood River IL, 62095-1867. NPI Number 1033115704 has the healthcare provider type.

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1528458809 NPI number is provided on an as is basis without warranty of any kind. 1528458809 is maintained by the National Plan & Provider Enumeration System. The contents of Wood River Dental Group Llc are for informational purposes only.