Organization
GATEWAY DENTAL GROUP OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA F SCHREINER DDS (MEMBER)
(314) 518-1088
Entity
Organization
Contact information
Practice address
93 CRESTMOOR, COLLINSVILLE, IL 62234
(314) 518-1088
Mailing address
4905 STONE FALLS CENTER, O'FALLON, IL 62269
(314) 518-1088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/05/2018
Last updated
07/06/2018
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