Most Relevant Information
Provider Data
| NPI Number: | 1003037573 |
| Provider Name: | STEVEN LIGHT DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
500 N BROADWAY AVE
SALEM
IL
628811516
Practice Location Phone/Fax
| Phone: | 6185480774 |
| Fax: | 6185481135 |
Provider Mailing Location
325 N INDIANA AVE
SALEM
IL
628811340
Provider Mailing Phone/Fax
| Phone: | 6185481226 |
| Fax: |