Organization
DUQUOIN DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC E DAVISON D.D.S. (PRESIDENT/OWNER)
(618) 542-5889
Entity
Organization
Contact information
Practice address
1226 S WASHINGTON ST, DU QUOIN, IL 62832-3853
(618) 542-8832
(618) 542-9255
Mailing address
1226 S WASHINGTON ST, PO BOX 330, DU QUOIN, IL 62832-3853
(618) 542-8832
(618) 542-9255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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