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1023194487
MATT GORDON VANDERMOLEN
SPRINGFIELD, IL
NPI
1023194487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019019785)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Dr. MATT GORDON VANDERMOLEN DDS
4701 WABASH AVE
SPRINGFIELD, IL 62711-9694
Phone number: 217-546-3333
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Mailing Address
Dr. MATT GORDON VANDERMOLEN DDS
4701 WABASH AVE
SPRINGFIELD, IL 62711-9694
Phone number: 217-546-3333
Copy
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