Smile With Us Pc | |
529 Tenney St Kewanee IL 61443-3746 | |
(773) 733-6344 | |
Not Available |
Full Name | Smile With Us Pc |
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Speciality | Dentist - General Practice |
Location | 529 Tenney St, Kewanee, Illinois |
Authorized Official Name and Position | Bogdan Mihai Taran (PRESIDENT) |
Authorized Official Contact | 7737336344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile With Us Pc 501 Dodge St Kewanee IL 61443-3258 Ph: (773) 733-6344 | Smile With Us Pc 529 Tenney St Kewanee IL 61443-3746 Ph: (773) 733-6344 |
NPI Number | 1386077436 |
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Provider Enumeration Date | 08/13/2013 |
Last Update Date | 08/13/2013 |
Identifier | Type | State | Issuer |
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1386077436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019027941 (Illinois) | Primary |
Kisner Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 S Chestnut St, Kewanee, IL 61443 Phone: 309-853-3393 |