Organization
KATHARINE MCGINNIS D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE MARIE MCGINNIS D.M.D (PRESIDENT)
(618) 656-0451
Entity
Organization
Contact information
Practice address
235 A. SOUTH MAIN ST, EDWARDSVILLE, IL 62025
(618) 656-0451
(618) 656-9130
Mailing address
235 A. SOUTH MAIN ST, EDWARDSVILLE, IL 62025
(618) 656-0451
(618) 656-9130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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