Andris Family Dental, LLC

NPI #1225493034 in Morton, Illinois

Provider Information

NPI Number
1225493034
Entity Type
Organization
Organization Name
Andris Family Dental, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 21, 2015
Last Updated
Dec 21, 2015

Practice Location

Address
636 W JEFFERSON ST
City
Morton
ZIP Code
61550-1581
Phone
(309) 263-8317

Authorized Official

Name
DR. RYAN WAYNE ANDRIS, D.M.D.
Title
DENTIST/OWNER
Phone
(309) 263-8317

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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