2102 RANDOLPH VANDALIA PROFESSIONAL, LLC

VANDALIA, IL
NPI1588532675
Entity TypeOrganization
Authorized ContactPAM DRAPER
VP Of Operations
602-391-4086
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
2102 W RANDOLPH ST
VANDALIA, IL 62471-1973
Phone number: 618-283-4900
Mailing Address
2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
2102 W RANDOLPH ST
VANDALIA, IL 62471-1973
Phone number: 618-283-4900
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