KIRK DOUGLAS SATROM

O FALLON, IL
NPI1386788768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  019.018990)
Enumeration Date2007-02-17
Last Update Date2007-07-08
Business Address
-- KIRK DOUGLAS SATROM D.D.S., M.S.
741 W STATE ST SUITE 2
O FALLON, IL 62269-1971
Phone number: 618-624-0800
Mailing Address
-- KIRK DOUGLAS SATROM D.D.S., M.S.
1 LORIEN CT
O FALLON, IL 62269-3132
Phone number: 618-628-0627