| Kirk W. Noraian, D.d.s., M.s., P.c. | |
|
105 N Williamsburg Dr Bloomington IL 61704-3528 | |
| (309) 663-4577 | |
| (309) 663-2854 |
| Full Name | Kirk W. Noraian, D.d.s., M.s., P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 105 N Williamsburg Dr, Bloomington, Illinois |
| Authorized Official Name and Position | Kirk William Noraian (OWNER) |
| Authorized Official Contact | 3096634577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk W. Noraian, D.d.s., M.s., P.c. 105 N Williamsburg Dr Bloomington IL 61704-3528 Ph: (309) 663-4577 | Kirk W. Noraian, D.d.s., M.s., P.c. 105 N Williamsburg Dr Bloomington IL 61704-3528 Ph: (309) 663-4577 |
| NPI Number | 1710007836 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710007836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
| 1223P0300X | Dentist - Periodontics | (Illinois) | Primary |
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