MAPLE SHADE DENTAL BLOOMINGTON LLC

BLOOMINGTON, IL
NPI1366795437
Entity TypeOrganization
Authorized ContactVICTORIA JOHNSON
Cro
941-444-0558
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2012-10-26
Last Update Date2026-07-22
Business Address
MAPLE SHADE DENTAL BLOOMINGTON LLC
107 S PROSPECT RD
BLOOMINGTON, IL 61704-4403
Phone number: 309-663-0433
Mailing Address
MAPLE SHADE DENTAL BLOOMINGTON LLC
107 S PROSPECT RD
BLOOMINGTON, IL 61704-4403
Phone number: