Organization
EDWARDSVILLE FAMILY DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU G MOODY DMD (DENTIST/OWNER)
(618) 659-0456
Entity
Organization
Contact information
Practice address
1811 LINDENWOOD AVE, EDWARDSVILLE, IL 62025-2580
(618) 659-0456
Mailing address
1811 LINDENWOOD AVE, EDWARDSVILLE, IL 62025-2580
(618) 659-0456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019028093
IL
Other
Enumeration date
05/05/2015
Last updated
07/24/2023
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