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Organization
PAUL T KUNDRICK DDS,PC
Active
Organization
PAUL T KUNDRICK DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KUNDRICK (OFFICER)
(618) 656-0451
Entity
Organization
Contact information
Practice address
235A S MAIN ST, EDWARDSVILLE, IL 62025-1921
(618) 656-0451
Mailing address
235 A SOUTH MAIN STREET, EDWARDSVILLE, IL 62025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/02/2006
Last updated
08/22/2020
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