| Champaign Center For Invisible Braces | |
|
314 W Kirby Ave Champaign IL 61820-7208 | |
| (217) 366-8371 | |
| (217) 366-8372 |
| Full Name | Champaign Center For Invisible Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 314 W Kirby Ave, Champaign, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COORD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champaign Center For Invisible Braces 314 W Kirby Ave Champaign IL 61820-7208 Ph: (217) 366-8371 | Champaign Center For Invisible Braces 314 W Kirby Ave Champaign IL 61820-7208 Ph: (217) 366-8371 |
| NPI Number | 1730372012 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730372012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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