Lifetime Dental Care of Illinois, PC

NPI #1679731145 in Effingham, Illinois

Provider Information

NPI Number
1679731145
Entity Type
Organization
Organization Name
Lifetime Dental Care of Illinois, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 30, 2008
Last Updated
May 30, 2008

Practice Location

Address
1200 NETWORK CENTRE DR
ZIP Code
62401-4637
Phone
(217) 540-5100

Authorized Official

Name
AMY KROEGER
Title
INSURANCE COORDINATOR
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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