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1235486762
HOUSKA DENTAL CENTER, LLC
BLOOMINGTON, IL
NPI
1235486762
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Entity Type
Organization
Authorized Contact
MARK HOUSKA
Owner
309-662-9042
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019020622)
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
HOUSKA DENTAL CENTER, LLC
2433 MALONEY DR
BLOOMINGTON, IL 61704-3750
Phone number: 309-662-9042
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Mailing Address
HOUSKA DENTAL CENTER, LLC
2433 MALONEY DR
BLOOMINGTON, IL 61704-3750
Phone number:
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