DECATUR 2012 LLC

DECATUR, IL
NPI1306107578
Doing Business AsFAMILY DENTAL
Entity TypeOrganization
Authorized ContactBRANDON ALEXANDER TAYLOR
Credentialing Payer Relations Mgr
847-453-7396
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2012-06-05
Last Update Date2021-10-15
Business Address
DECATUR 2012 LLC
141 E PERSHING RD
DECATUR, IL 62526-3213
Phone number: 888-988-4066
Mailing Address
DECATUR 2012 LLC
2050 E ALGONQUIN RD SUITE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-8406