Meridian View Family Dental
NPI #1629240569 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1629240569
- Entity Type
- Organization
- Organization Name
- Meridian View Family Dental
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 1, 2008
- Last Updated
- May 31, 2012
Practice Location
- Address
- 2133 SOUTH ILLINOIS ROUTE 157
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025
- Phone
- (618) 656-2006
Authorized Official
- Name
- AMANDA HENDERSON
- Title
- BUSINESS ASSISTANT
- Phone
- (618) 288-6201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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