Individual
CAL W HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1099 BELT LINE RD, COLLINSVILLE, IL 62234-4380
(618) 346-2006
Mailing address
1099 BELT LINE RD, COLLINSVILLE, IL 62234-4380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030731
IL
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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