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Organization

EFFINGHAM ENDODONTIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAIRE CHRISTINE LUSTIG DMD (OWNER ENDODONTIST)
(217) 663-6292
Entity
Organization

Contact information

Practice address
107 S 3RD ST LOWR LEVEL, EFFINGHAM, IL 62401-3632
(217) 663-6292
Mailing address
107 S 3RD ST LOWR LEVEL, EFFINGHAM, IL 62401-3632
(217) 298-3636

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
01/16/2025
Last updated
07/10/2025
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