Individual
DR. JASBIR DEOL UPADHYAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS, MSC, PHD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(352) 214-5810
(618) 474-7140
Mailing address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(352) 214-5810
(618) 474-7140
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
136000233
IL
Other
Enumeration date
02/01/2016
Last updated
12/13/2022
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