| Twin City Dental | |
|
2102 E Washington St Bloomington IL 61701-4321 | |
| (309) 808-2743 | |
| Not Available |
| Full Name | Twin City Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2102 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Scott William Todd (OWNER/DENTIST) |
| Authorized Official Contact | 3098247926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin City Dental 2814 Richard Rd Bloomington IL 61704-4640 Ph: (309) 824-7926 | Twin City Dental 2102 E Washington St Bloomington IL 61701-4321 Ph: (309) 808-2743 |
| NPI Number | 1477266245 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477266245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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