Organization
JMJ DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J. GREENWALD D.D.S. (PRESIDENT)
(217) 544-4411
Entity
Organization
Contact information
Practice address
209 W LAUREL ST, SPRINGFIELD, IL 62704-3926
(217) 544-4411
(217) 544-4413
Mailing address
209 W LAUREL ST, SPRINGFIELD, IL 62704-3926
(217) 544-4411
(217) 544-4413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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