Midamerica Center for Dental Wellness & Aesthetics PC

NPI #1093170003 in Vandalia, Illinois

Provider Information

NPI Number
1093170003
Entity Type
Organization
Organization Name
Midamerica Center for Dental Wellness & Aesthetics PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 17, 2015
Last Updated
Feb 9, 2017

Practice Location

Address
607 W ORCHARD ST
ZIP Code
62471-1234
Phone
(618) 283-2929

Authorized Official

Name
MARK G BRUNK, DMD
Title
OWNER/PARTNER
Phone
(618) 283-2929

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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