Access Dental of Bloomington Pllc
NPI #1073272886 in Bloomington, Illinois
Provider Information
- NPI Number
- 1073272886
- Entity Type
- Organization
- Organization Name
- Access Dental of Bloomington Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 401 N VETERANS PKWY STE 4
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7716
- Phone
- (469) 444-2818
Authorized Official
- Name
- ANDREA CARRILLO
- Title
- REGIONAL DIRECTOR
- Phone
- (512) 351-2612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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