Organization
QUINCY ORAL & MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RIGGS (VICE-PRESIDENT)
(217) 222-9434
Entity
Organization
Contact information
Practice address
3915 MAINE ST, SUITE 3, QUINCY, IL 62305-5843
(217) 222-9434
(217) 222-0671
Mailing address
3915 MAINE ST, SUITE 3, QUINCY, IL 62305-5843
(217) 222-9434
(217) 222-0671
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
08/22/2008
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