Individual
DR. ERIK VINEYARD TAUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 E MAIN ST, MASCOUTAH, IL 62258-2135
(618) 566-7384
Mailing address
104 E MAIN ST, MASCOUTAH, IL 62258-2135
(618) 566-7384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029166
IL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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