DIANNA GAIL GAULTNEY

CARBONDALE, IL
NPI1093883647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019021050)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
Dr. DIANNA GAIL GAULTNEY DDS
207 N UNIVERSITY AVE
CARBONDALE, IL 62901-1445
Phone number: 618-549-1646
Mailing Address
Dr. DIANNA GAIL GAULTNEY DDS
2105 KAOLIN ROAD
COBDEN, IL 62920
Phone number: 618-833-7427
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