Virden Dental Care

NPI #1376980375 in Virden, Illinois

Provider Information

NPI Number: 1376980375
Entity Type: Organization
Organization Name: Virden Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: May 30, 2013
Last Updated: May 30, 2013

Practice Location

Address: 140 E DEAN ST
City: Virden
State: Illinois
ZIP Code: 62690-1446
Phone: (217) 965-3032

Authorized Official

Name: DR. JULIO C. MORALES, D.D.S.
Title: OWNER/DENTIST
Phone: (217) 965-3032

Specialties & Taxonomy Codes

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

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