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Individual

DR. ANTHONY B CHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024-2201
(618) 258-8460
(618) 258-0489
Mailing address
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024-2201
(618) 258-8460
(618) 258-0489

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027840
IL
122300000X
Dentist
2007022193
MO

Other

Enumeration date
08/23/2007
Last updated
11/21/2011
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