Individual
CHARLES BYRON THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE BLDG 286, ALTON, IL 62002-4742
(618) 474-7119
Mailing address
2800 COLLEGE AVE BLDG 286, ALTON, IL 62002-4742
(618) 474-7119
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001637
IL
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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