DR. DIANNA GAULTNEY, DDS

Dentist - General Practice

Active Individual
NPI: 1093883647

Practice Address

207 N UNIVERSITY AVE
Carbondale, IL 62901

Phone: (618) 549-1646

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes -

Frequently Asked Questions

NPI 1093883647 is the National Provider Identifier for DR. DIANNA GAULTNEY, DDS, a Dentist - General Practice provider located in Carbondale, IL. This NPI was enumerated on December 1, 2006.
DR. DIANNA GAULTNEY, DDS practices at 207 N UNIVERSITY AVE, Carbondale, IL 62901.

Quick Facts

NPI
1093883647
Type
Individual
Enumerated
Dec 1, 2006
Last Updated
Jul 8, 2007

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