DR. Gregory Biddulph, DMD

NPI #1932237856 in O Fallon, Illinois

Provider Information

NPI Number: 1932237856
Entity Type: Individual
Name: DR. Gregory Biddulph, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1490 N GREEN MOUNT RD
Address 2: SUITE B
City: O Fallon
State: Illinois
ZIP Code: 62269-3416
Phone: (618) 632-1603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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