Seneca Smiles, Ltd

NPI #1669742649 in Seneca, Illinois

Provider Information

NPI Number: 1669742649
Entity Type: Organization
Organization Name: Seneca Smiles, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2012
Last Updated: Jan 6, 2012

Practice Location

Address: 293 S MAIN ST
City: Seneca
State: Illinois
ZIP Code: 61360-9415
Phone: (815) 357-1500

Authorized Official

Name: DR. PETER J PULLARA JR., DDS
Title: DENTIST/OWNER
Phone: (815) 634-8009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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