Associated Pediatric Dentistry, LLC

NPI #1235527490 in O Fallon, Illinois

Provider Information

NPI Number
1235527490
Entity Type
Organization
Organization Name
Associated Pediatric Dentistry, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Dec 22, 2014
Last Updated
Dec 22, 2014

Practice Location

Address
4945 STONE FALLS CTR
Address 2
SUITE B
ZIP Code
62269-7801
Phone
(618) 622-0212

Authorized Official

Name
DR. KEVIN C BEYERSDORFER
Title
VICE PRESIDENT
Phone
(618) 622-0212

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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