PINE GLEN DENTAL GROUP, LTD

PEORIA, IL
NPI1659589299
Entity TypeOrganization
Authorized ContactROBERT MICHAEL POLLARD
President
309-691-1990
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-05-18
Last Update Date2020-08-22
Business Address
PINE GLEN DENTAL GROUP, LTD
838 W GLEN AVE
PEORIA, IL 61614-4835
Phone number: 309-691-1990
Mailing Address
PINE GLEN DENTAL GROUP, LTD
838 W GLEN AVE
PEORIA, IL 61614-4835
Phone number: 309-691-1990
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