3-D Imaging of Southern Illinois, Inc.
NPI #1124280706 in Belleville, Illinois
Provider Information
- NPI Number
- 1124280706
- Entity Type
- Organization
- Organization Name
- 3-D Imaging of Southern Illinois, Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 25, 2008
- Last Updated
- Jun 25, 2008
Practice Location
- Address
- 5899 N BELT W
- Address 2
- SUITE B
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-4617
- Phone
- (618) 222-1722
Authorized Official
- Name
- DR. DONALD K BURDEN, D.D.S.
- Title
- PRESIDENT
- Phone
- (618) 222-1722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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