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Organization

PARKVIEW DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER SCOTT PUGEDA (DMD)
(618) 281-1888
Entity
Organization

Contact information

Practice address
728 S MAIN ST, COLUMBIA, IL 62236-2429
(618) 281-1888
(618) 281-1889
Mailing address
728 S MAIN ST, COLUMBIA, IL 62236-2429
(618) 281-1888
(618) 281-1889

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025365
IL

Other

Enumeration date
09/20/2006
Last updated
02/07/2017
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