Buffalo Prairie Dental Care of Macomb, INC
NPI #1053321109 in Macomb, Illinois
Provider Information
- NPI Number
- 1053321109
- Entity Type
- Organization
- Organization Name
- Buffalo Prairie Dental Care of Macomb, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 17, 2008
Practice Location
Authorized Official
- Name
- DR. MICHAEL O CONNOLLY, DDS
- Title
- PRESIDENT
- Phone
- (309) 833-2882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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