ENDODONTISTS OF ILLINOIS

BLOOMINGTON, IL
NPI1396164398
Entity TypeOrganization
Authorized ContactNATHANIEL BLAKE SWAAR
Vice President
309-661-8900
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: IL  019028814)
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
ENDODONTISTS OF ILLINOIS
113 N REGENCY DR
BLOOMINGTON, IL 61701-3515
Phone number: 309-661-8900
Mailing Address
ENDODONTISTS OF ILLINOIS
113 N REGENCY DR
BLOOMINGTON, IL 61701-3515
Phone number: 309-661-8900