Organization
SMICHAEL VANCIL DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S MICHAEL VANCIL DMD (MEMBER)
(618) 529-3931
Entity
Organization
Contact information
Practice address
1255 CEDAR COURT, CARBONDALE, IL 62901-5335
(618) 529-3931
(618) 529-1011
Mailing address
1255 CEDAR COURT, CARBONDALE, IL 62901-5335
(618) 529-3931
(618) 529-1011
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019017293
IL
Other
Enumeration date
01/08/2007
Last updated
07/30/2008
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