PEORIA DENTAL LLC

PEORIA, IL
NPI1992202139
Entity TypeOrganization
Authorized ContactSCOTT C BARES
President
309-981-5995
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
PEORIA DENTAL LLC
7417 N KNOXVILLE AVE
PEORIA, IL 61614-2019
Phone number: 309-981-5995
Mailing Address
PEORIA DENTAL LLC
7417 N KNOXVILLE AVE
PEORIA, IL 61614-2019
Phone number: 309-981-5995
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