Prairie View Dental Llc | |
115 W Peace Rd Sycamore IL 60178 | |
(815) 895-6100 | |
(815) 895-6107 |
Full Name | Prairie View Dental Llc |
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Speciality | Dentist |
Location | 115 W Peace Rd, Sycamore, Illinois |
Authorized Official Name and Position | Tiffany K Jozwiak (DENTIST OWNER) |
Authorized Official Contact | 8158956100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie View Dental Llc 115 W Peace Rd Sycamore IL 60178 Ph: (815) 895-6100 | Prairie View Dental Llc 115 W Peace Rd Sycamore IL 60178 Ph: (815) 895-6100 |
NPI Number | 1063570752 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063570752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
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