BRUCE EDWARD MATHES

PEORIA, IL
NPI1992893614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-022483)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Dr. BRUCE EDWARD MATHES DDS
121 E LAKE AVE STE G
PEORIA, IL 61614-6182
Phone number: 309-685-2112
Mailing Address
Dr. BRUCE EDWARD MATHES DDS
121 E LAKE AVE STE G
PEORIA, IL 61614-6182
Phone number: 309-685-2112
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