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Organization
THE FAMILY DENTAL CENTER OF PINCKNEYVILLE
Active
Organization
THE FAMILY DENTAL CENTER OF PINCKNEYVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE RAY HAWKINS DMD (DENTIST/OWNER)
(618) 357-9333
Entity
Organization
Contact information
Practice address
212 N WALNUT ST, PINCKNEYVILLE, IL 62274-1015
(618) 357-9333
Mailing address
212 N WALNUT ST, PINCKNEYVILLE, IL 62274-1015
(618) 357-9333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019032
IL
Other
Enumeration date
03/07/2008
Last updated
06/18/2008
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