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Individual

DR. JAN M MEHELIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3949 STATE ROUTE 111, GRANITE CITY, IL 62040-4302
(618) 797-1515
(618) 797-2715
Mailing address
3949 STATE ROUTE 111, GRANITE CITY, IL 62040-4302
(618) 797-1515
(618) 797-2715

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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