| Dr Mosquera Prosthodontics Pllc | |
|
687 E Linton Ave Springfield IL 62703-5902 | |
| (718) 909-2550 | |
| Not Available |
| Full Name | Dr Mosquera Prosthodontics Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 687 E Linton Ave, Springfield, Illinois |
| Authorized Official Name and Position | Jorge Enrique Mosquera Castrillon (DENTIST) |
| Authorized Official Contact | 5616358018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mosquera Prosthodontics Pllc 3500 Sandpiper Dr Springfield IL 62711-6722 Ph: (561) 635-8018 | Dr Mosquera Prosthodontics Pllc 687 E Linton Ave Springfield IL 62703-5902 Ph: (718) 909-2550 |
| NPI Number | 1114608965 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114608965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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