Individual
DR. GREGORY BIDDULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1490 N GREEN MOUNT RD, SUITE B, O FALLON, IL 62269-3416
(618) 632-1603
(618) 632-6034
Mailing address
1490 N GREEN MOUNT RD, SUITE B, O FALLON, IL 62269-3416
(618) 632-1603
(618) 632-6034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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