Milan Dental Center, L.l.c. | |
212 4th St W Milan IL 61264-2418 | |
(309) 787-2710 | |
Not Available |
Full Name | Milan Dental Center, L.l.c. |
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Speciality | Dentist |
Location | 212 4th St W, Milan, Illinois |
Authorized Official Name and Position | Regina Marie Nonnenmann (MEMBER) |
Authorized Official Contact | 3097872710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Milan Dental Center, L.l.c. 212 4th St W Milan IL 61264-2418 Ph: (309) 787-2710 | Milan Dental Center, L.l.c. 212 4th St W Milan IL 61264-2418 Ph: (309) 787-2710 |
NPI Number | 1184883969 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
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1184883969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019025885 (Illinois) | Primary |