Organization
AFFORDABLE DENTISTRY TODAY, PC
Active
Parent organization
AFFORDABLE DENTISTRY TODAY, PC
Other names
Affordable Dentistry Today - West Main
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE DENTISTRY TODAY, PC
Authorized official
AMY KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
5300 WEST MAIN, BELLEVILLE, IL 62226
(618) 234-2908
(618) 234-3278
Mailing address
5300 WEST MAIN, BELLEVILLE, IL 62226
(618) 234-2908
(618) 234-3278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
05/21/2008
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