Shonkwiler Family Dental Llc | |
110 N Oak St Arcola IL 61910-1417 | |
(217) 518-1174 | |
(217) 518-1175 |
Full Name | Shonkwiler Family Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 110 N Oak St, Arcola, Illinois |
Authorized Official Name and Position | Ryan Scott Shonkwiler (OWNER) |
Authorized Official Contact | 2175181174 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shonkwiler Family Dental Llc 110 N Oak St Arcola IL 61910-1417 Ph: (217) 518-1174 | Shonkwiler Family Dental Llc 110 N Oak St Arcola IL 61910-1417 Ph: (217) 518-1174 |
NPI Number | 1033769997 |
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Provider Enumeration Date | 09/12/2019 |
Last Update Date | 02/06/2020 |
Identifier | Type | State | Issuer |
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1033769997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |