Organization
JAMES REINERSMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GUILBEAULT (OWNER/DENTIST)
(618) 643-9523
Entity
Organization
Contact information
Practice address
2524 STATE ST, ALTON, IL 62002-5148
(618) 643-9523
(618) 643-9523
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
(618) 643-9523
(618) 643-9523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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