Milan Dental Center, L.l.c.

NPI #1184883969 in Milan, Illinois

Provider Information

NPI Number: 1184883969
Entity Type: Organization
Organization Name: Milan Dental Center, L.l.c.
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 212 4TH ST W
City: Milan
State: Illinois
ZIP Code: 61264-2418
Phone: (309) 787-2710

Authorized Official

Name: DR. REGINA MARIE NONNENMANN, D.D.S.
Title: MEMBER
Phone: (309) 787-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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