Children's Center For Dentistry | |
314 Susan Dr Normal IL 61761-6206 | |
(309) 827-5437 | |
(309) 265-0288 |
Full Name | Children's Center For Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 314 Susan Dr, Normal, Illinois |
Authorized Official Name and Position | Mackenzie Starkey (OFFICE MANAGER) |
Authorized Official Contact | 3098275437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Center For Dentistry 314 Susan Dr Normal IL 61761-6206 Ph: (309) 827-5437 | Children's Center For Dentistry 314 Susan Dr Normal IL 61761-6206 Ph: (309) 827-5437 |
NPI Number | 1932709433 |
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Provider Enumeration Date | 10/26/2020 |
Last Update Date | 04/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932709433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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