| Eureka Family Dental P.c. | |
|
2000 S Main St Eureka IL 61530-1663 | |
| (309) 467-3515 | |
| Not Available |
| Full Name | Eureka Family Dental P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2000 S Main St, Eureka, Illinois |
| Authorized Official Name and Position | Michael Moon (CO-OWNER) |
| Authorized Official Contact | 3094673515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eureka Family Dental P.c. 2000 S Main St Eureka IL 61530-1663 Ph: (309) 467-3515 | Eureka Family Dental P.c. 2000 S Main St Eureka IL 61530-1663 Ph: (309) 467-3515 |
| NPI Number | 1396282240 |
|---|---|
| Provider Enumeration Date | 01/30/2017 |
| Last Update Date | 01/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396282240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023704 (Illinois) | Primary |
| 122300000X | Dentist | 019028324 (Illinois) | Secondary |
Michael S Borzello Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 South Main Street, Eureka, IL 61530 Phone: 309-467-3515 Fax: 309-467-3122 |