SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM

CARBONDALE, IL
NPI1053582189
Other NameCHILDRENS HEALTHCARE FOUND GRANT
Entity TypeOrganization
Authorized ContactJENNIFER R KREID
Dsgp Program Coordinator
618-453-8823
Organization Subpart ?Yes
Primary Taxonomy1223D0001X Dentist, Dental Public Health
Additional Taxonomies261QD0000X Clinic/Center, Dental
Enumeration Date2008-03-17
Last Update Date2025-06-03
Business Address
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM
1365 DOUGLAS DR RM 18 CASA, SAH, MC 6615
CARBONDALE, IL 62901-2583
Phone number: 618-453-7211
Mailing Address
SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM
1365 DOUGLAS DR RM 18 CASA, SAH, MC 6615
CARBONDALE, IL 62901-2583
Phone number: 618-453-7211