Organization
CARROLLTON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY SUE COX (OFFICE MANAGER)
(618) 520-0127
Entity
Organization
Contact information
Practice address
603 5TH ST, CARROLLTON, IL 62016-1401
(217) 942-5033
(217) 942-9503
Mailing address
603 5TH ST, CARROLLTON, IL 62016-1401
(217) 942-5033
(217) 942-9503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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