SMALLTOWN DENTAL BLOOMINGTON ON MALONEY

BLOOMINGTON, IL
NPI1023719341
Entity TypeOrganization
Authorized ContactLUKE OVERCASH
CIO
309-370-5853
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
SMALLTOWN DENTAL BLOOMINGTON ON MALONEY
2433 MALONEY DR
BLOOMINGTON, IL 61704-3750
Phone number: 309-662-9042
Mailing Address
SMALLTOWN DENTAL BLOOMINGTON ON MALONEY
1600 S 4TH AVE STE 110
MORTON, IL 61550-3401
Phone number: