OPTIM DENTAL PEORIA-1 LLC

PEORIA, IL
NPI1962943290
Entity TypeOrganization
Authorized ContactSRINIVAS DURSHANAPALLI
President
217-303-5955
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-03-20
Last Update Date2017-03-20
Business Address
OPTIM DENTAL PEORIA-1 LLC
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number: 309-777-9777
Mailing Address
OPTIM DENTAL PEORIA-1 LLC
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number: 309-777-9777
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