Organization
ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT. OLIVE, P.C.
Active
Parent organization
ADVANCED FAMILY DENTAL & ORTHODONTICS OF CARLINVILLE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FAMILY DENTAL & ORTHODONTICS OF CARLINVILLE, PC
Authorized official
DR. DAVID RUBIS DDS (PRESIDENT)
(815) 741-1700
Entity
Organization
Contact information
Practice address
312 W MAIN ST, MOUNT OLIVE, IL 62069-1640
(217) 999-6211
Mailing address
312 W MAIN ST, MOUNT OLIVE, IL 62069-1640
(217) 999-6211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016447
IL
Other
Enumeration date
08/13/2014
Last updated
03/16/2015
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