NPI | 1639433626 |
---|---|
Doing Business As | WOODS MILL DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID GUILBEAULT Owner 618-248-2038 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2000174030) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2015-04-15 |