| Two Rivers Pediatric Dentistry, L.l.c. | |
|
1872 Avenue Of The Cities Moline IL 61265 | |
| (309) 797-3020 | |
| (309) 797-3212 |
| Full Name | Two Rivers Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 1872 Avenue Of The Cities, Moline, Illinois |
| Authorized Official Name and Position | Brian J Richards (DENTIST) |
| Authorized Official Contact | 3097973020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Pediatric Dentistry, L.l.c. 1872 Avenue Of The Cities Moline IL 61265-4878 Ph: (309) 797-3020 | Two Rivers Pediatric Dentistry, L.l.c. 1872 Avenue Of The Cities Moline IL 61265 Ph: (309) 797-3020 |
| NPI Number | 1649592353 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649592353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025264 (Illinois) | Primary |
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