Sunflower Dental, Llc | |
6108 Shoger Drive, Suite A Edwardsville IL 62025-0246 | |
(618) 202-4820 | |
Not Available |
Full Name | Sunflower Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 6108 Shoger Drive, Suite A, Edwardsville, Illinois |
Authorized Official Name and Position | Danielle Rae Csaszar (DENTIST/OWNER) |
Authorized Official Contact | 6186918783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunflower Dental, Llc Po Box 246 Edwardsville IL 62025-0246 Ph: (618) 691-8783 | Sunflower Dental, Llc 6108 Shoger Drive, Suite A Edwardsville IL 62025-0246 Ph: (618) 202-4820 |
NPI Number | 1427692581 |
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Provider Enumeration Date | 11/01/2019 |
Last Update Date | 11/01/2019 |
Identifier | Type | State | Issuer |
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1427692581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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