Emil M. Verban

NPI #1750633566 in Bloomington, Illinois

Provider Information

NPI Number: 1750633566
Entity Type: Organization
Organization Name: Emil M. Verban
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2012
Last Updated: Oct 4, 2012

Practice Location

Address: 2103 E WASHINGTON ST
Address 2: SUITE 1C
City: Bloomington
State: Illinois
ZIP Code: 61701-4310
Phone: (309) 662-8448

Authorized Official

Name: DR. EMIL M. VERBAN JR., DDS
Title: OWNER
Phone: (309) 662-8448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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