Teutopolis Family Dental LLC
NPI #1316595101 in Teutopolis, Illinois
Provider Information
- NPI Number
- 1316595101
- Entity Type
- Organization
- Organization Name
- Teutopolis Family Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 27, 2019
- Last Updated
- Mar 4, 2021
Practice Location
- Address
- 206 N PEARL ST
- City
- Teutopolis
- State
- Illinois
- ZIP Code
- 62467-1134
- Phone
- (217) 857-3201
Authorized Official
- Name
- BLAKE WESTRA, DMD
- Title
- OWNER
- Phone
- (217) 463-4110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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