Kevin K Schultz, Dds, PC
NPI #1447642384 in Bloomington, Illinois
Provider Information
- NPI Number
- 1447642384
- Entity Type
- Organization
- Organization Name
- Kevin K Schultz, Dds, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 2, 2015
- Last Updated
- Mar 2, 2015
Practice Location
- Address
- 10 HEARTLAND DR
- Address 2
- SUITE C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7741
- Phone
- (309) 663-1721
Authorized Official
- Name
- DR. KEVIN KELSO SCHULTZ, D.D.S.
- Title
- PRESIDENT
- Phone
- (309) 663-1721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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