Dr. Paul & Dr. Anderson, Dental PC

NPI #1154728228 in Peoria, Illinois

Provider Information

NPI Number: 1154728228
Entity Type: Organization
Organization Name: Dr. Paul & Dr. Anderson, Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 4, 2014
Last Updated: Dec 4, 2014

Practice Location

Address: 521 W LAKE AVE
City: Peoria
State: Illinois
ZIP Code: 61614-6020
Phone: (309) 682-0770

Authorized Official

Name: ROGER PAUL, DMD
Title: DENTIST
Phone: (309) 682-0770

Specialties & Taxonomy Codes

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

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