Organization
AULT FAMILY DENTISTRY PLLC
Active
Parent organization
AULT AND MASSEY FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AULT AND MASSEY FAMILY DENTISTRY
Authorized official
DR. JUSTIN ROBERT AULT DMD (DENTIST)
(920) 672-9706
Entity
Organization
Contact information
Practice address
1810 WOODFIELD DR, SAVOY, IL 61874-9479
(217) 352-6232
Mailing address
1810 WOODFIELD DR, SAVOY, IL 61874-9479
(217) 352-6232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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