SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM is a dental clinic center in Carbondale, IL. SOUTHERN ILLINOIS UNIVERSITY CARBONDALE DENTAL SEALANT PROGRAM NPI is 1053582189. The provider is registered as an organization entity type.
The provider's business location address is:
1365 DOUGLAS DR RM 18
CASA, SAH, MC 6615
CARBONDALE, IL
ZIP 62901-583
Phone: (618) 453-7211
Fax: (618) 453-7020
The provider's authorized official is Faith Miller .
The authorized official title is Dental Sealant Program Co-coordinat and has the following contact phone number (618) 453-7211.
The enumeration date for this NPI number is 3/17/2008 and was last updated on 3/17/2008.