Shiloh Dental Group LLC

NPI #1316317977 in Shiloh, Illinois

Provider Information

NPI Number: 1316317977
Entity Type: Organization
Organization Name: Shiloh Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 25, 2015
Last Updated: Jan 22, 2016

Practice Location

Address: 301 TAMARACK LN
City: Shiloh
State: Illinois
ZIP Code: 62269-2993
Phone: (618) 643-9523

Authorized Official

Name: DAVID GUILBEAULT
Title: OWNER/DENTIST
Phone: (618) 643-9523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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