Affordable Dentures- Peoria, P.c | |
2807 W Townline Rd Peoria IL 61615-1557 | |
(309) 689-1452 | |
Not Available |
Full Name | Affordable Dentures- Peoria, P.c |
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Speciality | Dentist |
Location | 2807 W Townline Rd, Peoria, Illinois |
Authorized Official Name and Position | Paul D. Larsen (PRACTICE OWNER) |
Authorized Official Contact | 3096891452 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Affordable Dentures- Peoria, P.c 2807 W Townline Rd Peoria IL 61615-1557 Ph: (309) 689-1452 | Affordable Dentures- Peoria, P.c 2807 W Townline Rd Peoria IL 61615-1557 Ph: (309) 689-1452 |
NPI Number | 1477824977 |
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Provider Enumeration Date | 01/16/2012 |
Last Update Date | 01/16/2012 |
Identifier | Type | State | Issuer |
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1477824977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019.018482 (Illinois) | Primary |
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