Organization
AULT AND MASSEY FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN ROBERT AULT DMD (DENTIST)
(217) 352-6232
Entity
Organization
Contact information
Practice address
1810 WOODFIELD DR, SAVOY, IL 61874-9479
(217) 352-6232
Mailing address
1810 WOODFIELD DR, SAVOY, IL 61874-9479
(217) 352-6232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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