| Myotech, Llc | |
|
1828 Avenue Of The Cities Moline IL 61265-4858 | |
| (309) 764-0008 | |
| (309) 764-0059 |
| Full Name | Myotech, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1828 Avenue Of The Cities, Moline, Illinois |
| Authorized Official Name and Position | David A Jarrin (PRESIDENT) |
| Authorized Official Contact | 3097640008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myotech, Llc 1828 Avenue Of The Cities Moline IL 61265-4858 Ph: (309) 764-0008 | Myotech, Llc 1828 Avenue Of The Cities Moline IL 61265-4858 Ph: (309) 764-0008 |
| NPI Number | 1811132467 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811132467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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