| Sunflower Dental, Llc | |
|
6108 Shoger Drive, Suite A Edwardsville IL 62025-0246 | |
| (618) 202-4820 | |
| Not Available |
| Full Name | Sunflower Dental, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 11/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427692581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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