Capodice, Efaw, Ocheltree & Elger Pllc

NPI #1710985759 in Bloomington, Illinois

Provider Information

NPI Number
1710985759
Entity Type
Organization
Organization Name
Capodice, Efaw, Ocheltree & Elger Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
CAPODICE, EFAW, OCHELTREE & ELGER PLLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 13, 2005
Last Updated
Dec 20, 2023

Practice Location

Address
109 N REGENCY DR
ZIP Code
61701-3515
Phone
(309) 663-2526

Authorized Official

Name
MRS. KYNDRA BATA
Title
OFFICE MANAGER
Phone
(309) 663-2526

Specialties & Taxonomy Codes

Specialty
Specialist
Oral & Maxillofacial Surgery
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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