| Bellwood Family Dentistry | |
|
321 N Bellwood Dr East Alton IL 62024-2038 | |
| (618) 258-0028 | |
| (618) 258-1060 |
| Full Name | Bellwood Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 321 N Bellwood Dr, East Alton, Illinois |
| Authorized Official Name and Position | Jeffrey M Lautz (DENTIST, OWNER) |
| Authorized Official Contact | 6182580028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellwood Family Dentistry 321 N Bellwood Dr East Alton IL 62024-2038 Ph: (618) 258-0028 | Bellwood Family Dentistry 321 N Bellwood Dr East Alton IL 62024-2038 Ph: (618) 258-0028 |
| NPI Number | 1750390373 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750390373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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