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
- City
- Bloomington
- State
- Illinois
- 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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