Wood River Dental Group LLC
NPI #1528458809 in Wood River, Illinois
Provider Information
- NPI Number
- 1528458809
- Entity Type
- Organization
- Organization Name
- Wood River Dental Group LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 1075 HARRISON ST
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-1867
- Phone
- (618) 259-5200
Authorized Official
- Name
- DAVID GUILBEAULT, DMD
- Title
- OWNER/DENTIST
- Phone
- (618) 248-2038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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