East Moline Dental Center Pc | |
748 Green Park Ave Colona IL 61241-9617 | |
(309) 792-2211 | |
(309) 792-4678 |
Full Name | East Moline Dental Center Pc |
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Speciality | Dentist - General Practice |
Location | 748 Green Park Ave, Colona, Illinois |
Authorized Official Name and Position | Michael A Kendall (DENTIST) |
Authorized Official Contact | 3097551700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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East Moline Dental Center Pc 748 Green Park Ave Colona IL 61241-9617 Ph: (309) 792-2211 | East Moline Dental Center Pc 748 Green Park Ave Colona IL 61241-9617 Ph: (309) 792-2211 |
NPI Number | 1376014746 |
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Provider Enumeration Date | 12/11/2018 |
Last Update Date | 12/11/2018 |
Identifier | Type | State | Issuer |
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1376014746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |