Individual
ANDREW JACOB KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1001 E MAIN ST, CARBONDALE, IL 62901-3100
(618) 549-2273
(618) 351-0212
Mailing address
1001 E MAIN ST, CARBONDALE, IL 62901-3100
(618) 549-2273
(618) 351-0212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028717
IL
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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