Eastland Dental Center, Ltd.

NPI #1609134865 in Bloomington, Illinois

Provider Information

NPI Number
1609134865
Entity Type
Organization
Organization Name
Eastland Dental Center, Ltd.
Primary Specialty
Clinic/Center
Enumeration Date
Apr 25, 2012
Last Updated
Apr 25, 2012

Practice Location

Address
1404 EASTLAND DRIVE
Address 2
STE 101
ZIP Code
61701
Phone
(309) 663-4711

Authorized Official

Name
MICHAEL L. MILLIGAN, DMD
Title
PRESIDENT
Phone
(309) 663-4711

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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Provider Name
Planned Parenthood of Illinois

Part of Planned Parenthood of Illinois

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