| 3-d Imaging Of Southern Illinois, Inc. | |
|
5899 N Belt W Suite B Belleville IL 62226-4617 | |
| (618) 222-1722 | |
| Not Available |
| Full Name | 3-d Imaging Of Southern Illinois, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5899 N Belt W, Belleville, Illinois |
| Authorized Official Name and Position | Donald K Burden (PRESIDENT) |
| Authorized Official Contact | 6182221722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 3-d Imaging Of Southern Illinois, Inc. 5899 N Belt W Suite B Belleville IL 62226-4617 Ph: (618) 222-1722 | 3-d Imaging Of Southern Illinois, Inc. 5899 N Belt W Suite B Belleville IL 62226-4617 Ph: (618) 222-1722 |
| NPI Number | 1124280706 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124280706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19-13956 (Illinois) | Primary |
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