Cottage Dental Care LLC
NPI #1518380070 in Bloomington, Illinois
Provider Information
- NPI Number
- 1518380070
- Entity Type
- Organization
- Organization Name
- Cottage Dental Care LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 3, 2014
- Last Updated
- Feb 3, 2014
Practice Location
- Address
- 2206 COTTAGE AVE
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-1447
- Phone
- (309) 828-1463
Authorized Official
- Name
- DR. DENNIS R KRUG, DDS
- Title
- MEMBER
- Phone
- (309) 828-1463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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