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Organization

FRANK SCOTT PARKWAY FAMILY DENTAL, LLC

Active
Other names
Frank Scott Parkway Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GUILBEAULT DMD (OWNER/DENTIST)
(618) 643-9523
Entity
Organization

Contact information

Practice address
4933 BENCHMARK CENTRE DR STE A, SWANSEA, IL 62226-8927
(618) 643-9523
(618) 643-9523
Mailing address
1922 EDWARDSVILLE CLUB PLAZA CT, EDWARDSVILLE, IL 62025-3717
(618) 643-9523
(618) 643-9523

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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