Individual
DR. RENATA K REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4218 SOUTH STATE ROUTE 159, SUITE 1, GLEN CARBON, IL 62034
(618) 288-7000
Mailing address
117 BAYFIELD DRIVE, GLEN CARBON, IL 62034
(618) 288-4469
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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