SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE

ALTON, IL
NPI1215912696
Entity TypeOrganization
Authorized ContactDEBRA M SCHWENK
Associate Dean For Clinical Affairs
618-474-7080
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  19018978)
Enumeration Date2005-12-08
Last Update Date2007-07-10
Business Address
SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE
2800 COLLEGE AVE
ALTON, IL 62002-4700
Phone number: 618-474-7080
Mailing Address
SOUTHERN ILLINOIS UNIVERSITY EDWARDSVILLE SCHOOL OF DENTAL MEDICINE
2800 COLLEGE AVE
ALTON, IL 62002-4700
Phone number: 618-474-7080