Organization
CEDAR CREEK DENTAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET W GRUENDER D.M.D. (PRESIDENT)
(618) 654-4551
Entity
Organization
Contact information
Practice address
380 SUPPIGER WAY, SUITE 3, HIGHLAND, IL 62249-1103
(618) 654-4551
(618) 654-8523
Mailing address
380 SUPPIGER WAY, SUITE 3, HIGHLAND, IL 62249-1103
(618) 654-4551
(618) 654-8523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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