| Children's Center For Dentistry Pllc | |
|
314 Susan Drive Normal IL 61761 | |
| (309) 827-5437 | |
| (309) 265-0288 |
| Full Name | Children's Center For Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 314 Susan Drive, Normal, Illinois |
| Authorized Official Name and Position | Gregory M Dietz (OWNER & PROVIDER) |
| Authorized Official Contact | 3098275437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Center For Dentistry Pllc 314 Susan Drive Normal IL 61761 Ph: (309) 827-5437 | Children's Center For Dentistry Pllc 314 Susan Drive Normal IL 61761 Ph: (309) 827-5437 |
| NPI Number | 1285184259 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285184259 | NPI | - | NPPES |
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