Advanced Dental Care

NPI #1295182905 in Columbia, Illinois

Provider Information

NPI Number
1295182905
Entity Type
Organization
Organization Name
Advanced Dental Care
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 23, 2016
Last Updated
May 23, 2016

Practice Location

Address
125 WEDGEWOOD DR
ZIP Code
62236-1052
Phone
(618) 281-9590

Authorized Official

Name
MR. MARTIN JOSEPH CISNEROS, D.M.D
Title
OWNER
Phone
(618) 281-9590

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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