Peoria Dental Care

NPI #1851909345 in Peoria, Illinois

Provider Information

NPI Number: 1851909345
Entity Type: Organization
Organization Name: Peoria Dental Care
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 21, 2020
Last Updated: Jul 21, 2020

Practice Location

Address: 4517 N ROCKWOOD DR
City: Peoria
State: Illinois
ZIP Code: 61615-3841
Phone: (309) 688-0121

Authorized Official

Name: ROBERT WYNN, DDS
Title: DENTIST
Phone: (309) 688-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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