ST..CHARLES MODERN DENTAL LLC

ST CHARLES, IL
NPI1134442304
Entity TypeOrganization
Authorized ContactJEFF THOMAS
President
618-532-4902
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
ST..CHARLES MODERN DENTAL LLC
855 S RANDALL RD
ST CHARLES, IL 60174-1570
Phone number: 630-587-2700
Mailing Address
ST..CHARLES MODERN DENTAL LLC
855 S RANDALL RD
ST CHARLES, IL 60174-1570
Phone number: 630-587-2700
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