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1366795437
MAPLE SHADE DENTAL BLOOMINGTON LLC
BLOOMINGTON, IL
NPI
1366795437
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Entity Type
Organization
Authorized Contact
VICTORIA JOHNSON
Cro
941-444-0558
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2012-10-26
Last Update Date
2026-07-22
Business Address
MAPLE SHADE DENTAL BLOOMINGTON LLC
107 S PROSPECT RD
BLOOMINGTON, IL 61704-4403
Phone number: 309-663-0433
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Mailing Address
MAPLE SHADE DENTAL BLOOMINGTON LLC
107 S PROSPECT RD
BLOOMINGTON, IL 61704-4403
Phone number:
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