Laura J Donlan DDS PC

NPI #1083767396 in Peoria, Illinois

Provider Information

NPI Number: 1083767396
Entity Type: Organization
Organization Name: Laura J Donlan DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7314 N WILLOWLAKE COURT
Address 2: SUITE D
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 692-0175

Authorized Official

Name: DR. LAURA J DONLAN, DDS
Title: PRESIDENT
Phone: (309) 692-0175

Specialties & Taxonomy Codes

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

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