Seneca Smiles, Ltd | |
293 S Main St Seneca IL 61360-9415 | |
(815) 357-1500 | |
(815) 357-1511 |
Full Name | Seneca Smiles, Ltd |
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Speciality | Dentist - General Practice |
Location | 293 S Main St, Seneca, Illinois |
Authorized Official Name and Position | Peter J Pullara (DENTIST/OWNER) |
Authorized Official Contact | 8156348009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Seneca Smiles, Ltd 293 S Main St P.o. Box 289 Seneca IL 61360-9415 Ph: (815) 357-1500 | Seneca Smiles, Ltd 293 S Main St Seneca IL 61360-9415 Ph: (815) 357-1500 |
NPI Number | 1669742649 |
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Provider Enumeration Date | 01/06/2012 |
Last Update Date | 01/06/2012 |
Identifier | Type | State | Issuer |
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1669742649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019021493 (Illinois) | Primary |