HEATHER L DENTINO

PEORIA, IL
NPI1831898014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: IL  209026831)
Enumeration Date2023-02-27
Last Update Date2023-02-27
Business Address
Mr. HEATHER L DENTINO APN
6708 N KNOXVILLE AVE
PEORIA, IL 61614-2862
Phone number: 309-692-6838
Mailing Address
Mr. HEATHER L DENTINO APN
6708 N KNOXVILLE AVE
PEORIA, IL 61614-2862
Phone number: 309-692-6838