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Individual

DAVID G. GUILBEAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
24 GINGER CREEK PKWY, GLEN CARBON, IL 62034-3502
(618) 692-1110
(618) 692-1112
Mailing address
24 GINGER CREEK PARKWAY, GLEN CARBON, IL 62034
(618) 692-1110
(618) 692-1110

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025281
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102743
IL
Enumeration date
08/04/2006
Last updated
12/18/2019
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