Mclean County Dental
NPI #1417216870 in Bloomington, Illinois
Provider Information
- NPI Number
- 1417216870
- Entity Type
- Organization
- Organization Name
- Mclean County Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 4, 2012
- Last Updated
- May 4, 2012
Practice Location
- Address
- 2103 E WASHINGTON ST
- Address 2
- SUITE 1C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4310
- Phone
- (309) 662-8448
Authorized Official
- Name
- DR. EMIL M. VERBAN JR., DDS
- Title
- OWNER
- Phone
- (309) 662-8448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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