Ginger Creek Dental LLC
NPI #1023323623 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1023323623
- Entity Type
- Organization
- Organization Name
- Ginger Creek Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2010
- Last Updated
- Aug 9, 2010
Practice Location
- Address
- 24 GINGER CREEK PKWY
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3502
- Phone
- (618) 692-1110
Authorized Official
- Name
- DR. DAVID GUILBEAULT, D.M.D.
- Title
- DENTIST
- Phone
- (618) 692-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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