Individual
DR. MARCIA L. AULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
285 N. WESTGATE AVE., JACKSONVILLE, IL 62650-1700
(217) 245-4012
Mailing address
285 N. WESTGATE AVE., JACKSONVILLE, IL 62650-1700
(217) 245-4012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15800
BCBS
IL
01
—
DNIL16856A
BCBS
IL
Enumeration date
10/03/2006
Last updated
04/08/2008
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