Endodontists of Illinois

NPI #1396164398 in Bloomington, Illinois

Provider Information

NPI Number
1396164398
Entity Type
Organization
Organization Name
Endodontists of Illinois
Primary Specialty
Dentist - Endodontics
Enumeration Date
Apr 8, 2014
Last Updated
Apr 8, 2014

Practice Location

Address
113 N REGENCY DR
ZIP Code
61701-3515
Phone
(309) 661-8900

Authorized Official

Name
NATHANIEL BLAKE SWAAR, D.M.D.
Title
VICE PRESIDENT
Phone
(309) 661-8900

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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