| Access Dental Of Peoria Vogue Pllc | |
|
3510 N University St Peoria IL 61604-1345 | |
| (309) 306-8888 | |
| Not Available |
| Full Name | Access Dental Of Peoria Vogue Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3510 N University St, Peoria, Illinois |
| Authorized Official Name and Position | Andrea Carrillo (REGIONAL DIRECTOR) |
| Authorized Official Contact | 5123512612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Dental Of Peoria Vogue Pllc 8150 Springwood Dr # 150b Irving TX 75063-5810 Ph: () - | Access Dental Of Peoria Vogue Pllc 3510 N University St Peoria IL 61604-1345 Ph: (309) 306-8888 |
| NPI Number | 1306505110 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 12/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306505110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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