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212 N Davenport St Metamora IL 61548-9395 | |
(309) 369-2378 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 212 N Davenport St, Metamora, Illinois |
Authorized Official Name and Position | Kyle Andrew Krall (PRESIDENT) |
Authorized Official Contact | 3093672378 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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212 N Davenport St Po Box 920 Metamora IL 61548-9395 Ph: (309) 369-2378 | 212 N Davenport St Metamora IL 61548-9395 Ph: (309) 369-2378 |
NPI Number | 1891957726 |
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Provider Enumeration Date | 07/01/2008 |
Last Update Date | 05/04/2022 |
Identifier | Type | State | Issuer |
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1891957726 | NPI | - | NPPES |