Organization
DAVID GUILBEAULT DMD FLORISSANT DENTAL GROUP LLC
Active
Other names
Florissant Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUILBEAULT DDS (DENTIST/OWNER)
(618) 248-2038
Entity
Organization
Contact information
Practice address
1645 N NEW FLORISSANT RD, FLORISSANT, MO 63033-2125
(314) 838-3033
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000174030
MO
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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