A Brush With Dentistry Ii, P.c. | |
108 N Peoria Ave Dixon IL 61021-2027 | |
(815) 288-1418 | |
(815) 288-1419 |
Full Name | A Brush With Dentistry Ii, P.c. |
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Speciality | Clinic/center - Dental |
Location | 108 N Peoria Ave, Dixon, Illinois |
Authorized Official Name and Position | Shailee S Patel (OWNER) |
Authorized Official Contact | 3122174490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Brush With Dentistry Ii, P.c. 108 N Peoria Ave Dixon IL 61021-2027 Ph: (815) 288-1418 | A Brush With Dentistry Ii, P.c. 108 N Peoria Ave Dixon IL 61021-2027 Ph: (815) 288-1418 |
NPI Number | 1689065799 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 02/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689065799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019-027415 (Illinois) | Primary |
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A Brush With Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Peoria Ave, Dixon, IL 61021 Phone: 815-288-1418 Fax: 815-288-1419 |