| Marcin Dental Centers Pc | |
|
7620 N University Peoria IL 61614 | |
| (309) 693-0043 | |
| (309) 693-0422 |
| Full Name | Marcin Dental Centers Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7620 N University, Peoria, Illinois |
| Authorized Official Name and Position | Roseanne Brunenkant (OFFICE MANAGER) |
| Authorized Official Contact | 3092746237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcin Dental Centers Pc 7620 N University Peoria IL 61614 Ph: (309) 693-0043 | Marcin Dental Centers Pc 7620 N University Peoria IL 61614 Ph: (309) 693-0043 |
| NPI Number | 1366502825 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366502825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019013646 (Illinois) | Primary |
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