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1235527490
ASSOCIATED PEDIATRIC DENTISTRY, LLC
O FALLON, IL
NPI
1235527490
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Entity Type
Organization
Authorized Contact
KEVIN C BEYERSDORFER
Vice President
618-622-0212
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
ASSOCIATED PEDIATRIC DENTISTRY, LLC
4945 STONE FALLS CTR SUITE B
O FALLON, IL 62269-7801
Phone number: 618-622-0212
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Mailing Address
ASSOCIATED PEDIATRIC DENTISTRY, LLC
4945 STONE FALLS CTR SUITE B
O FALLON, IL 62269-7801
Phone number: 618-622-0212
Copy
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