Organization
DENTAL WELLNESS CENTER OF MARYVILLE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MICHAEL MURPHY DMD (OWNER)
(618) 288-1923
Entity
Organization
Contact information
Practice address
2933 MARYVILLE RD, MARYVILLE, IL 62062-5400
(618) 288-1923
Mailing address
2933 MARYVILLE RD, MARYVILLE, IL 62062-5400
(618) 288-1923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
11/21/2017
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