Individual
MR. JAMES JOSEPH GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
209 WEST LAUREL, SPRINGFIELD, IL 62704-3926
(217) 544-4411
(217) 544-4413
Mailing address
209 WEST LAUREL, SPRINGFIELD, IL 62704-3926
(217) 544-4411
(217) 544-4413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022320
IL
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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