Access Dental of Normal Pllc

NPI #1205595915 in Normal, Illinois

Provider Information

NPI Number
1205595915
Entity Type
Organization
Organization Name
Access Dental of Normal Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 9, 2021
Last Updated
Dec 9, 2021

Practice Location

Address
305 S LINDEN ST STE 101
City
Normal
ZIP Code
61761-4906
Phone
(309) 296-0227

Authorized Official

Name
ANDREA CARRILLO
Title
REGIONAL DIRECTOR
Phone
(512) 351-2612

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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