Gerald R. Dragich, D.m.d., P.c.
NPI #1639448137 in Belleville, Illinois
Provider Information
- NPI Number
- 1639448137
- Entity Type
- Organization
- Organization Name
- Gerald R. Dragich, D.m.d., P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 29, 2011
- Last Updated
- Dec 29, 2011
Practice Location
- Address
- 3909 N BELT W
- Address 2
- A
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5607
- Phone
- (618) 236-0900
Authorized Official
- Name
- DR. GERALD RAY DRAGICH, D.M.D.
- Title
- PRESIDENT
- Phone
- (618) 236-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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