Dentsensus Peoria, Pllc

NPI #1831085265 in Peoria, Illinois

Provider Information

NPI Number
1831085265
Entity Type
Organization
Organization Name
Dentsensus Peoria, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 13, 2025
Last Updated
Jun 13, 2025

Practice Location

Address
1320 W NORTHMOOR RD STE A
City
Peoria
ZIP Code
61614-3425
Phone
(414) 841-2881

Authorized Official

Name
JACK KALLOCH, DMD
Title
OWNER
Phone
(414) 841-2881

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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