Organization
CHARLES W. JANES, D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W. JANES D.D.S. (PRESIDENT)
(217) 228-2828
Entity
Organization
Contact information
Practice address
1261 MAINE ST, QUINCY, IL 62301-4275
(217) 228-2828
Mailing address
1261 MAINE ST, QUINCY, IL 62301-4275
(217) 228-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002348
—
IL
Enumeration date
04/02/2008
Last updated
04/02/2008
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