Pediatric Dental Associates of Mclean County, INC
NPI #1982878708 in Bloomington, Illinois
Provider Information
- NPI Number
- 1982878708
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Associates of Mclean County, INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 211 S PROSPECT RD
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4910
- Phone
- (309) 663-7339
Authorized Official
- Name
- DR. SARA R RAUEN DARDIS, D.D.S., M.S.
- Title
- PEDIATRIC DENTIST
- Phone
- (309) 663-7339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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