| Caldieraro Family Dentistry, Pc | |
|
332 N Central Ave Wood River IL 62095-1822 | |
| (618) 254-3355 | |
| Not Available |
| Full Name | Caldieraro Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 332 N Central Ave, Wood River, Illinois |
| Authorized Official Name and Position | John B Caldieraro (OWNER) |
| Authorized Official Contact | 6186358333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldieraro Family Dentistry, Pc 332 N Central Ave Wood River IL 62095-1822 Ph: (618) 254-3355 | Caldieraro Family Dentistry, Pc 332 N Central Ave Wood River IL 62095-1822 Ph: (618) 254-3355 |
| NPI Number | 1669871463 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669871463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027703 (Illinois) | Primary |
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