Lifetime Dental Care of Illinois, PC

NPI #1265654412 in Bloomington, Illinois

Provider Information

NPI Number
1265654412
Entity Type
Organization
Organization Name
Lifetime Dental Care of Illinois, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1507 NORTH VETERANS PARKWAY
ZIP Code
61704
Phone
(309) 664-6666

Authorized Official

Name
AMY KROEGER
Title
INS COOD
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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