Organization
ADVANCED FAMILY DENTAL & ORTHODONTICS OF CARLINVILLE, PC
Active
Parent organization
ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT OLIVE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT OLIVE, PC
Authorized official
DR. DAVID RUBIS DDS (PRESIDENT)
(217) 854-4059
Entity
Organization
Contact information
Practice address
201 MCCAUSLAND ST, CARLINVILLE, IL 62626-9128
(217) 854-4059
(217) 854-9518
Mailing address
201 MCCAUSLAND STREET, CARLINVILLE, IL 62626
(217) 854-4059
(217) 854-9518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016447
IL
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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