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Organization
VILLAGE FAMILY DENTAL, LLC
Active
Organization
VILLAGE FAMILY DENTAL, LLC
Active
Other names
Village Family Dental, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SONES DMD (OWNER/DENTIST)
(618) 797-1515
Entity
Organization
Contact information
Practice address
3949 IL-111, GRANITE CITY, IL 60240
(618) 797-1515
Mailing address
3949 IL-111, GRANITE CITY, IL 60240
(618) 797-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134961758
NPI
IL
01
—
1588344824
NPI
IL
01
—
1639499791
NPI
IL
Enumeration date
07/24/2024
Last updated
08/20/2024
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