Grand View Dental Arts, LLC

NPI #1033631882 in Edwardsville, Illinois

Provider Information

NPI Number
1033631882
Entity Type
Organization
Organization Name
Grand View Dental Arts, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 13, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
201 S MAIN ST
ZIP Code
62025-1921
Phone
(618) 656-4202

Authorized Official

Name
DR. CHARLES SEYMOUR BORDEN III, DDS
Title
OWNER
Phone
(618) 656-4202

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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