The Dental Studio of Southern Illinois

NPI #1598408783 in O Fallon, Illinois

Provider Information

NPI Number
1598408783
Entity Type
Organization
Organization Name
The Dental Studio of Southern Illinois
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 15, 2022
Last Updated
May 1, 2022

Practice Location

Address
741 W STATE ST STE 1
ZIP Code
62269-1971
Phone
(618) 632-2282

Authorized Official

Name
BRITTANY GILBRETH
Title
CO-OWNER
Phone
(618) 304-0998

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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