| Knox Family Dental | |
|
1172 Monroe St Ste 7 Galesburg IL 61401-2554 | |
| (309) 343-9229 | |
| Not Available |
| Full Name | Knox Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1172 Monroe St Ste 7, Galesburg, Illinois |
| Authorized Official Name and Position | Collin Petoskey (DENTIST/OWNER) |
| Authorized Official Contact | 3097386224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Family Dental 1172 Monroe St Ste 7 Galesburg IL 61401-2554 Ph: (309) 343-9229 | Knox Family Dental 1172 Monroe St Ste 7 Galesburg IL 61401-2554 Ph: (309) 343-9229 |
| NPI Number | 1053893586 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 08/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053893586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019030409 (Illinois) | Primary |
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