Organization
TEEL FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A TEEL D.M.D. (PRESIDENT)
(618) 542-3166
Entity
Organization
Contact information
Practice address
215 S WASHINGTON ST, DU QUOIN, IL 62832-1804
(618) 542-3166
(618) 542-3167
Mailing address
215 S WASHINGTON ST, DU QUOIN, IL 62832-1804
(618) 542-3166
(618) 542-3167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027488
IL
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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