PETERSON DENTAL CARE LLC

SPRINGFIELD, IL
NPI1316430952
Entity TypeOrganization
Authorized ContactJAMES PETERSON
Owner
630-780-9964
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019029045)
Enumeration Date2018-06-08
Last Update Date2018-06-08
Business Address
PETERSON DENTAL CARE LLC
2501 W ILES AVE STE A
SPRINGFIELD, IL 62704-6482
Phone number: 217-787-4015
Mailing Address
PETERSON DENTAL CARE LLC
1700 MOUND RD
JACKSONVILLE, IL 62650-2260
Phone number: 630-780-9964
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