MATT GORDON VANDERMOLEN

SPRINGFIELD, IL
NPI1023194487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019019785)
Enumeration Date2006-10-28
Last Update Date2007-07-08
Business Address
Dr. MATT GORDON VANDERMOLEN DDS
4701 WABASH AVE
SPRINGFIELD, IL 62711-9694
Phone number: 217-546-3333
Mailing Address
Dr. MATT GORDON VANDERMOLEN DDS
4701 WABASH AVE
SPRINGFIELD, IL 62711-9694
Phone number: 217-546-3333