Katharine Mcginnis D.m.d. P.c.
NPI #1194376640 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1194376640
- Entity Type
- Organization
- Organization Name
- Katharine Mcginnis D.m.d. P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 26, 2019
- Last Updated
- Sep 26, 2019
Practice Location
- Address
- 235 A. SOUTH MAIN ST
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025
- Phone
- (618) 656-0451
Authorized Official
- Name
- DR. KATHARINE MARIE MCGINNIS, D.M.D
- Title
- PRESIDENT
- Phone
- (618) 656-0451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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