| Donlan Dental Group | |
|
843 W Glen Ave Peoria IL 61614-4834 | |
| (309) 691-9421 | |
| Not Available |
| Full Name | Donlan Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 843 W Glen Ave, Peoria, Illinois |
| Authorized Official Name and Position | John Eward Donlan (OWNER) |
| Authorized Official Contact | 3096919421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donlan Dental Group 843 W Glen Ave Peoria IL 61614-4834 Ph: (309) 691-9421 | Donlan Dental Group 843 W Glen Ave Peoria IL 61614-4834 Ph: (309) 691-9421 |
| NPI Number | 1306902499 |
|---|---|
| Provider Enumeration Date | 12/31/2006 |
| Last Update Date | 09/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306902499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023386 (Illinois) | Primary |
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