Optim Dental Bloomington LLC
NPI #1902251911 in Bloomington, Illinois
Provider Information
- NPI Number
- 1902251911
- Entity Type
- Organization
- Organization Name
- Optim Dental Bloomington LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 401 N VETERANS PKWY STE 4
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7716
- Phone
- (217) 971-3432
Authorized Official
- Name
- MINDY SCHMACHT
- Title
- OFFICE MANAGER
- Phone
- (217) 971-3432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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