IIDSM BLOOMINGTON LLC

BLOOMINGTON, IL
NPI1366710410
Entity TypeOrganization
Authorized ContactCAILIN SPENCER
Accounts Receivable Manager
309-243-1341
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2011-12-05
Last Update Date2012-05-16
Business Address
IIDSM BLOOMINGTON LLC
2309 E EMPIRE ST 500
BLOOMINGTON, IL 61704-8636
Phone number: 309-319-6568
Mailing Address
IIDSM BLOOMINGTON LLC
11825 STATE ROUTE 40 SUITE 100
DUNLAP, IL 61525-8842
Phone number: 309-243-1341
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