Miles Of Smiles, Ltd | |
137 Radio City Dr Ste F North Pekin IL 61554-1570 | |
(309) 382-6404 | |
(309) 382-6405 |
Full Name | Miles Of Smiles, Ltd |
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Speciality | Dentist - General Practice |
Location | 137 Radio City Dr Ste F, North Pekin, Illinois |
Authorized Official Name and Position | David Ralph Trost (PRESIDENT) |
Authorized Official Contact | 3093826404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miles Of Smiles, Ltd 137 Radio City Dr Ste F North Pekin IL 61554-1570 Ph: (309) 382-6404 | Miles Of Smiles, Ltd 137 Radio City Dr Ste F North Pekin IL 61554-1570 Ph: (309) 382-6404 |
NPI Number | 1750553327 |
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Provider Enumeration Date | 03/24/2008 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
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1750553327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019016607 (Illinois) | Primary |