| Sb Illinois Dentistry Llc | |
|
2506 Volunteer Dr Galesburg IL 61401-8654 | |
| (309) 341-4630 | |
| Not Available |
| Full Name | Sb Illinois Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2506 Volunteer Dr, Galesburg, Illinois |
| Authorized Official Name and Position | Shachindra Bahadur (OWNER) |
| Authorized Official Contact | 3193901400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sb Illinois Dentistry Llc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Sb Illinois Dentistry Llc 2506 Volunteer Dr Galesburg IL 61401-8654 Ph: (309) 341-4630 |
| NPI Number | 1457868788 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 01/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457868788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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