CUSTOM DENTAL CARE, P.C.

QUINCY, IL
NPI1932452893
Entity TypeOrganization
Authorized ContactDENNIS RYAN WAGNER
Owner/President
217-430-1429
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019027406)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
CUSTOM DENTAL CARE, P.C.
3740 E LAKE CTR STE B
QUINCY, IL 62305-5805
Phone number: 217-214-4545
Mailing Address
CUSTOM DENTAL CARE, P.C.
3740 E LAKE CTR STE B
QUINCY, IL 62305-5805
Phone number: 217-214-4545
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