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Individual

DR. RONALD CALAWAY-HABECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
7310 TIMBERCREST DR, GODFREY, IL 62035
(618) 567-8829

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026855
IL

Other

Enumeration date
04/26/2007
Last updated
02/19/2024
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