Organization · Type 2 NPI
Grand View Dental Arts, LLC
Dental Clinic/Center · Edwardsville, IL
NPI number
1033631882
Active
Practice location
201 S Main St
Edwardsville, IL 62025-1921
Fax (618) 656-6580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019024683 (IL) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Edwardsville
About NPI 1033631882
Grand View Dental Arts, LLC's National Provider Identifier is 1033631882, issued on Jul 13, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Edwardsville, IL. The record was last updated on Jul 21, 2022.