Bollaert's Illini Dental Associates

NPI #1790970200 in East Moline, Illinois

Provider Information

NPI Number
1790970200
Entity Type
Organization
Organization Name
Bollaert's Illini Dental Associates
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 7, 2007
Last Updated
Sep 7, 2007

Practice Location

Address
2909 19TH ST
ZIP Code
61244-5019
Phone
(309) 796-2251

Authorized Official

Name
DR. KORY M MELIN, D.M.D.
Title
DENTIST
Phone
(309) 796-2251

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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