Organization
DAVID GUILBEAULT DMD WOODS MILL LLC
Active
Other names
Woods Mill Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GUILBEAULT DMD (OWNER)
(618) 248-2038
Entity
Organization
Contact information
Practice address
14377 WOODLAKE DR, STE 115, CHESTERFIELD, MO 63017-5735
(314) 469-6300
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000174030
MO
Other
Enumeration date
06/25/2012
Last updated
04/15/2015
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