Gregory Biddulph, DMD Valid NPI
Individual provider · Dentist · O Fallon, IL
- NPI
- 1932237856
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Practice location
1490 N Green Mount Rd, Suite B
O Fallon, IL 62269-3416
(618) 632-1603