DR. Dianna Gail Gaultney, DDS
NPI #1093883647 in Carbondale, Illinois
Provider Information
- NPI Number
- 1093883647
- Entity Type
- Individual
- Name
- DR. Dianna Gail Gaultney, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 207 N UNIVERSITY AVE
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1445
- Phone
- (618) 549-1646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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