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Organization
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
Active
Organization
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE
Active
Other names
Illinois Children's Healthcare Foundation Dental Grant Project
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA DEMATTEI RDH, PHD (ASSOC. PROF./DENTAL HYGIENE PROGRAM)
(618) 453-7298
Entity
Organization
Contact information
Practice address
1365 DOUGLAS DR, COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH, CARBONDALE, IL 62901-6615
(618) 453-7241
(618) 453-7020
Mailing address
1365 DOUGLAS DR, COLLEGE OF APPLIED SCIENCES/SCHOOL OF ALLIED HEALTH, CARBONDALE, IL 62901-6615
(618) 453-7241
(618) 453-7020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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