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Organization
RONALD WEEMS JR P.C.
Active
Organization
RONALD WEEMS JR P.C.
Active
Other names
Wood River Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HENDERSON (BUSINESS ASSISTANT)
(618) 259-2007
Entity
Organization
Contact information
Practice address
1915 VAUGHN ROAD, WOOD RIVER, IL 62095
(618) 259-2007
(618) 259-2675
Mailing address
26 GINGER CREEK PKWY, PO BOX 430, GLEN CARBON, IL 62034-3502
(618) 288-6201
(618) 288-6452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025159
IL
Other
Enumeration date
06/02/2008
Last updated
05/29/2012
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