JAY IVOR SWANSON

EFFINGHAM, IL
NPI1811166614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  019019384)
Enumeration Date2008-02-26
Last Update Date2013-03-04
Business Address
-- JAY IVOR SWANSON D.D.S.,M.D.
901 MEDICAL PARK DR
EFFINGHAM, IL 62401-2191
Phone number: 217-342-4444
Mailing Address
-- JAY IVOR SWANSON D.D.S.,M.D.
901 MEDICAL PARK DR
EFFINGHAM, IL 62401-2191
Phone number: 217-342-4444
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