Organization
GAITROS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANNE OAKLEY (OFFICE MANAGER)
(217) 875-5020
Entity
Organization
Contact information
Practice address
1080 E MOUND RD, DECATUR, IL 62526-9385
(218) 750-5020
(217) 875-0235
Mailing address
1080 E MOUND RD, DECATUR, IL 62526-9385
(217) 875-5020
(217) 875-0235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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