Coal City Dental Center

NPI #1356604672 in Coal City, Illinois

Provider Information

NPI Number: 1356604672
Entity Type: Organization
Organization Name: Coal City Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 21, 2012
Last Updated: Jun 21, 2012

Practice Location

Address: 645 E DIVISION ST
City: Coal City
State: Illinois
ZIP Code: 60416-1679
Phone: (815) 634-4999

Authorized Official

Name: DR. ROBIN LYNN TREVISON, D.M.D.
Title: DENTIST
Phone: (815) 634-4999

Specialties & Taxonomy Codes

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

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Individual Providers

Provider Name	Specialty	City
Robin Trevison, D.M.D	Dentist - General Practice	Coal City	AI Deep Dive
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Pullara Family Dental Center	Dentist - General Practice	Coal City	AI Deep Dive
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