Freeport Family Dental Care, P.c.

NPI #1093068736 in Freeport, Illinois

Provider Information

NPI Number
1093068736
Entity Type
Organization
Organization Name
Freeport Family Dental Care, P.c.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 18, 2012
Last Updated
Oct 18, 2012

Practice Location

Address
1768 S. ROSENSTIEL DR
ZIP Code
61032-6897
Phone
(815) 235-2600

Authorized Official

Name
DR. DONALD P DOAK, D.D.S.
Title
CLINICAL DIRECTOR
Phone
(815) 235-2600

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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