Individual
DR. JAMES EDSON NATIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2418 BLOOMER DR, ALTON, IL 62002-4809
(618) 465-8467
Mailing address
2418 BLOOMER DR, ALTON, IL 62002-4809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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