LIFETIME DENTAL CARE OF ILLINOIS, PC

COLUMBIA, IL
NPI1831311158
Entity TypeOrganization
Authorized ContactAMY KROEGER
Ins COO D
217-540-5100
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-05-03
Last Update Date2008-05-21
Business Address
LIFETIME DENTAL CARE OF ILLINOIS, PC
240 SOUTHWOODS CENTRE DRIVE
COLUMBIA, IL 62236
Phone number: 618-281-9888
Mailing Address
LIFETIME DENTAL CARE OF ILLINOIS, PC
240 SOUTHWOODS CENTRE DRIVE
COLUMBIA, IL 62236
Phone number: 618-281-9888