| Doroba Dental Inc | |
|
518 19th Ave Moline IL 61265-3760 | |
| (309) 764-9099 | |
| Not Available |
| Full Name | Doroba Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 518 19th Ave, Moline, Illinois |
| Authorized Official Name and Position | Jeffery S Doroba (PRESIDENT) |
| Authorized Official Contact | 3097649099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doroba Dental Inc 518 19th Ave Moline IL 61265-3760 Ph: (309) 764-9099 | Doroba Dental Inc 518 19th Ave Moline IL 61265-3760 Ph: (309) 764-9099 |
| NPI Number | 1043687155 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043687155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019019936 (Illinois) | Primary |
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