Organization
DAVID GUILBEAULT DMD MID RIVERS DENTAL GROUP
Active
Other names
Mid Rivers Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GUILBEAULT DMD (OWNER/DENTIST)
(618) 692-1110
Entity
Organization
Contact information
Practice address
300 MID RIVERS MALL DR, SAINT PETERS, MO 63376-1565
(636) 937-5883
Mailing address
6117 TIMBERWOLFE DR, GLEN CARBON, IL 62034-1372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000174030
MO
Other
Enumeration date
03/28/2013
Last updated
11/05/2014
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