Restoration Dental Llc-Casey Family Dental

NPI #1053684365 in Casey, Illinois

Provider Information

NPI Number: 1053684365
Entity Type: Organization
Organization Name: Restoration Dental Llc-Casey Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 16, 2012
Last Updated: Oct 1, 2015

Practice Location

Address: 1400 E MAIN ST
City: Casey
State: Illinois
ZIP Code: 62420-2106
Phone: (217) 932-5266

Authorized Official

Name: JAMIE VILK
Title: OPERATIONS MANAGER
Phone: (217) 348-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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