Amboy Dental Group | |
305 Joe Dr W Suite #120 Amboy IL 61310-9001 | |
(815) 857-3559 | |
(815) 857-2333 |
Full Name | Amboy Dental Group |
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Speciality | Dentist - General Practice |
Location | 305 Joe Dr W, Amboy, Illinois |
Authorized Official Name and Position | Brandon R Klein (PARTNER) |
Authorized Official Contact | 8158573559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Amboy Dental Group 305 Joe Dr W Suite #120 Amboy IL 61310-9001 Ph: (815) 857-3559 | Amboy Dental Group 305 Joe Dr W Suite #120 Amboy IL 61310-9001 Ph: (815) 857-3559 |
NPI Number | 1538570064 |
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Provider Enumeration Date | 05/19/2014 |
Last Update Date | 05/19/2014 |
Identifier | Type | State | Issuer |
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1538570064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019.028259 (Illinois) | Primary |