Organization
GALLATIN COUNTY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA IRENE MCGUIRE MSW (ADMINISTRATOR)
(618) 727-4300
Entity
Organization
Contact information
Practice address
5135 HIGHWAY 13, JUNCTION, IL 62954
(618) 272-7630
(618) 272-7625
Mailing address
5135 HIGHWAY 13, JUNCTION, IL 62954
(618) 272-7630
(618) 272-7625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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