Individual
DR. ERIN EDEN GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
2510 BLOOMFIELD AVE, ALTON, IL 62002-2843
(618) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031170
IL
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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