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DR. GREGORY JAY DILL DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1124184569

Individual Registrant:
DR. GREGORY JAY DILL DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
102 E CUMBERLAND  GREENUP, IL 62428-0818 US
Tel: 217-923-5292  Fax: 217-923-3682

Contact information for business:
PO BOX 818 102 E CUMBERLAND GREENUP, IL 62428-0818 US
Tel: 217-923-5292  Fax: 217-923-3682

Registration Information:
NPI: 1124184569
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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