Magna Dental, PC
NPI #1750780219 in Springfield, Illinois
Provider Information
- NPI Number
- 1750780219
- Entity Type
- Organization
- Organization Name
- Magna Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 20, 2014
- Last Updated
- Feb 5, 2015
Practice Location
- Address
- 1825 S 6TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62703-3122
- Phone
- (217) 525-6980
Authorized Official
- Name
- MRS. CANDACE CHRISTINE CUMMINS
- Title
- TREASURER/BOOKKEEPER
- Phone
- (217) 381-3681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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