| Ginger Creek Dental Llc | |
|
24 Ginger Creek Pkwy Glen Carbon IL 62034-3502 | |
| (618) 692-1110 | |
| Not Available |
| Full Name | Ginger Creek Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Ginger Creek Pkwy, Glen Carbon, Illinois |
| Authorized Official Name and Position | David Guilbeault (DENTIST) |
| Authorized Official Contact | 6186921110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ginger Creek Dental Llc 24 Ginger Creek Pkwy Glen Carbon IL 62034-3502 Ph: () - | Ginger Creek Dental Llc 24 Ginger Creek Pkwy Glen Carbon IL 62034-3502 Ph: (618) 692-1110 |
| NPI Number | 1023323623 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023323623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025281 (Illinois) | Primary |
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