Restoration Dental Llc- Marshall Dental Professionals

NPI #1326311630 in Marshall, Illinois

Provider Information

NPI Number: 1326311630
Entity Type: Organization
Organization Name: Restoration Dental Llc- Marshall Dental Professionals
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 16, 2012
Last Updated: Oct 1, 2015

Practice Location

Address: 815 N 2ND ST
City: Marshall
State: Illinois
ZIP Code: 62441-1086
Phone: (217) 826-5181

Authorized Official

Name: JAMIE VILK
Title: OPERATIONS MANAGER
Phone: (217) 348-7770

Specialties & Taxonomy Codes

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

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