Individual
DR. NICHOLAS DEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6108 SHOGER DR, SUITE A, EDWARDSVILLE, IL 62025
(618) 202-4820
Mailing address
1814 CREST DR, ALTON, IL 62002-5016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034459
IL
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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