Organization
AUBURN DENTAL CARE
Active
Parent organization
SOUTHERN VIEW DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN VIEW DENTAL GROUP
Authorized official
REFAAT HASSAN (DENTIST)
(217) 416-6022
Entity
Organization
Contact information
Practice address
500 E JACKSON ST, AUBURN, IL 62615
(217) 434-3721
Mailing address
500 E JACKSON ST, AUBURN, IL 62615
(217) 434-3721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-025844
IL
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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