| West End Family Dental | |
|
24 Ginger Creek Pkwy Glen Carbon IL 62034-3502 | |
| (618) 692-1110 | |
| Not Available |
| Full Name | West End Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 Ginger Creek Pkwy, Glen Carbon, Illinois |
| Authorized Official Name and Position | David Guilbeault (OWNER) |
| Authorized Official Contact | 6186921110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Family Dental 6911 W Main St Belleville IL 62223-3029 Ph: (618) 397-5000 | West End Family Dental 24 Ginger Creek Pkwy Glen Carbon IL 62034-3502 Ph: (618) 692-1110 |
| NPI Number | 1023448891 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023448891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025281 (Illinois) | Primary |
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