Gallatin County Dental Clinic

NPI #1932375359 in Junction, Illinois

Provider Information

NPI Number: 1932375359
Entity Type: Organization
Organization Name: Gallatin County Dental Clinic
Primary Specialty: Dentist
Enumeration Date: May 6, 2008
Last Updated: May 6, 2008

Practice Location

Address: 5135 HIGHWAY 13
City: Junction
State: Illinois
ZIP Code: 62954
Phone: (618) 272-7630

Authorized Official

Name: MRS. STACIA IRENE MCGUIRE, MSW
Title: ADMINISTRATOR
Phone: (618) 727-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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