PRAIRIE DENTAL ASSOCIATES, P.C.

BLOOMINGTON, IL
NPI1528253994
Entity TypeOrganization
Authorized ContactRICHARD A. STEPHEY
CEO
309-662-7722
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
PRAIRIE DENTAL ASSOCIATES, P.C.
3220 GERIG DR
BLOOMINGTON, IL 61704-6394
Phone number: 309-662-7722
Mailing Address
PRAIRIE DENTAL ASSOCIATES, P.C.
3220 GERIG DR
BLOOMINGTON, IL 61704-6394
Phone number: 309-662-7722
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