Individual
DR. DIANE BECKIUS ARCHBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-6655
Mailing address
1521 OAK RIDGE CT, O FALLON, IL 62269-3004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13893
MN
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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