Organization
CAULKS HILL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUILBEAULT DMD (DENTIST)
(636) 441-3430
Entity
Organization
Contact information
Practice address
1319 CAULKS HILL RD, SAINT CHARLES, MO 63304-6863
(636) 441-3430
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
(618) 248-2038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000174030
MO
Other
Enumeration date
09/17/2013
Last updated
05/28/2015
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