DR. Preston Street, DMD

NPI #1689306557 in Robinson, Illinois

Provider Information

NPI Number: 1689306557
Entity Type: Individual
Name: DR. Preston Street, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 28, 2022
Last Updated: Jun 28, 2022

Practice Location

Address: 1502 W MAIN ST
City: Robinson
State: Illinois
ZIP Code: 62454-3819
Phone: (618) 544-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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