2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1588532675- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2102 W RANDOLPH ST, VANDALIA, IL, 624711973
- Phone
- (618) 283-4900
Specialties & Taxonomies
Dentist, General Practice
Primary