32 Cottage Dental LLC
NPI #1225910607 in Bloomington, Illinois
Provider Information
- NPI Number
- 1225910607
- Entity Type
- Organization
- Organization Name
- 32 Cottage Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 24, 2025
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 2206 COTTAGE AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1447
- Phone
- (309) 828-1463
Authorized Official
- Name
- JACOB PHILIP
- Title
- OWNER
- Phone
- (309) 828-1463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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