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1770755852
DENTAL SEALANTS & MORE
PEORIA, IL
NPI
1770755852
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Entity Type
Organization
Authorized Contact
RENEE KATHERINE DIETZ
President
309-339-4433
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-010639)
Enumeration Date
2008-03-28
Last Update Date
2017-02-08
Business Address
DENTAL SEALANTS & MORE
2126 N. UNIVERSITY ST.
PEORIA, IL 61604
Phone number: 309-339-4433
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Mailing Address
DENTAL SEALANTS & MORE
2126 N. UNIVERSITY ST.
PEORIA, IL 61604
Phone number: 309-339-4433
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