| East Moline Dental Center Pc | |
|
401 Avenue Of The Cities East Moline IL 61244-4024 | |
| (309) 755-1700 | |
| Not Available |
| Full Name | East Moline Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Avenue Of The Cities, East Moline, Illinois |
| Authorized Official Name and Position | Michael Kendall (DENTIST) |
| Authorized Official Contact | 3097551700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Moline Dental Center Pc 401 Avenue Of The Cities East Moline IL 61244-4024 Ph: (309) 755-1700 | East Moline Dental Center Pc 401 Avenue Of The Cities East Moline IL 61244-4024 Ph: (309) 755-1700 |
| NPI Number | 1265954598 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265954598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060.012083 (Illinois) | Primary |
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