Donlan Dental Group

NPI #1306902499 in Peoria, Illinois

Provider Information

NPI Number: 1306902499
Entity Type: Organization
Organization Name: Donlan Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 31, 2006
Last Updated: Sep 5, 2008

Practice Location

Address: 843 W GLEN AVE
City: Peoria
State: Illinois
ZIP Code: 61614-4834
Phone: (309) 691-9421

Authorized Official

Name: DR. JOHN EWARD DONLAN, D.D.S.
Title: OWNER
Phone: (309) 691-9421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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