Auburn Dental Care

NPI #1346785672 in Auburn, Illinois

Provider Information

NPI Number: 1346785672
Entity Type: Organization
Organization Name: Auburn Dental Care
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHERN VIEW DENTAL GROUP
Primary Specialty: Dentist
Enumeration Date: Dec 22, 2016
Last Updated: Dec 22, 2016

Practice Location

Address: 500 E JACKSON ST
City: Auburn
State: Illinois
ZIP Code: 62615
Phone: (217) 434-3721

Authorized Official

Name: REFAAT HASSAN
Title: DENTIST
Phone: (217) 416-6022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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