GRANITE CITY DENTAL CARE LTD

CHAMPAIGN, IL
NPI1750609418
Entity TypeOrganization
Authorized ContactLA NAE WOOD
Office Manager
217-351-2650
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.0225511)
Enumeration Date2010-05-05
Last Update Date2010-05-05
Business Address
GRANITE CITY DENTAL CARE LTD
2102 N MARKET ST
CHAMPAIGN, IL 61822-1306
Phone number: 618-877-0780
Mailing Address
GRANITE CITY DENTAL CARE LTD
2130 JOHNSON RD
GRANITE CITY, IL 62040-3961
Phone number: 618-877-0780
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