Humbert Road Dentistry

NPI #1942501911 in Alton, Illinois

Provider Information

NPI Number
1942501911
Entity Type
Organization
Organization Name
Humbert Road Dentistry
Primary Specialty
Dentist
Enumeration Date
Nov 8, 2010
Last Updated
Nov 8, 2010

Practice Location

Address
4119 HUMBERT RD
City
Alton
ZIP Code
62002-7116
Phone
(618) 465-8100

Authorized Official

Name
DAWN MICHELLE SHUDT
Title
OFFICE MANAGER
Phone
(618) 465-8100

Specialties & Taxonomy Codes

Specialty
Dentist

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