VIRGIL A BEADLE

CARBONDALE, IL
NPI1609943091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  19A12875)
Additional Taxonomies122300000X Dentist
(Licence: MO  010711)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
Dr. VIRGIL A BEADLE DDX
#4 CROWN LANE
CARBONDALE, IL 62903-7604
Phone number: 618-457-4137
Mailing Address
Dr. VIRGIL A BEADLE DDX
#4 CROWN LANE
CARBONDALE, IL 62903-7604
Phone number: 618-457-4137
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