GARY VANDEKERCKHOVE

SPRINGFIELD, IL
NPI1790893493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  A15523)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
-- GARY VANDEKERCKHOVE D.D.S
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
Mailing Address
-- GARY VANDEKERCKHOVE D.D.S
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-7744
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