Children's Center for Dentistry Pllc

NPI #1285184259 in Normal, Illinois

Provider Information

NPI Number
1285184259
Entity Type
Organization
Organization Name
Children's Center for Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Oct 13, 2016
Last Updated
May 28, 2021

Practice Location

Address
314 SUSAN DRIVE
City
Normal
ZIP Code
61761
Phone
(309) 827-5437

Authorized Official

Name
MR. GREGORY M DIETZ, D.M.D
Title
OWNER & PROVIDER
Phone
(309) 827-5437

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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