Applewhite Dental Illinois, P.c.
NPI #1619456373 in Bloomington, Illinois
Provider Information
- NPI Number
- 1619456373
- Entity Type
- Organization
- Organization Name
- Applewhite Dental Illinois, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- APPLEWHITE DENTAL ILLINOIS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Jul 29, 2019
Practice Location
- Address
- 2103 E WASHINGTON ST STE 1C
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-4365
- Phone
- (309) 662-8448
Authorized Official
- Name
- SHARON L LOSO
- Title
- CREDENTIALING SPECIALIST
- Phone
- (563) 582-1448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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