Marcin Dental Centers PC

NPI #1366502825 in Peoria, Illinois

Provider Information

NPI Number: 1366502825
Entity Type: Organization
Organization Name: Marcin Dental Centers PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 12, 2006
Last Updated: Apr 26, 2012

Practice Location

Address: 7620 N UNIVERSITY
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 693-0043

Authorized Official

Name: MRS. ROSEANNE BRUNENKANT
Title: OFFICE MANAGER
Phone: (309) 274-6237

Specialties & Taxonomy Codes

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

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