| Bollaert's Illini Dental Associates | |
|
2909 19th St East Moline IL 61244-5019 | |
| (309) 796-2251 | |
| (309) 796-2274 |
| Full Name | Bollaert's Illini Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2909 19th St, East Moline, Illinois |
| Authorized Official Name and Position | Kory M Melin (DENTIST) |
| Authorized Official Contact | 3097962251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bollaert's Illini Dental Associates 2909 19th St East Moline IL 61244-5019 Ph: (309) 796-2251 | Bollaert's Illini Dental Associates 2909 19th St East Moline IL 61244-5019 Ph: (309) 796-2251 |
| NPI Number | 1790970200 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790970200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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