Organization
KIRK D. SATROM, DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK D SATROM DDS MS (PRESIDENT)
(618) 624-0800
Entity
Organization
Contact information
Practice address
741 W STATE ST, SUITE # 2, O FALLON, IL 62269-1971
(618) 624-0800
(618) 624-0053
Mailing address
741 W STATE ST, SUITE # 2, O FALLON, IL 62269-1971
(618) 624-0800
(618) 624-0053
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060.009554
IL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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