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Organization
NICOLAS E KRAVANYA DMD LLC
Active
Organization
NICOLAS E KRAVANYA DMD LLC
Active
Other names
Kravanya & Boente Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS ERIC KRAVANYA DMD (DENTIST/OWNER)
(217) 854-4741
Entity
Organization
Contact information
Practice address
204 OAKLAND AVE, CARLINVILLE, IL 62626
(217) 854-6505
(217) 854-6505
Mailing address
204 OAKLAND AVE, CARLINVILLE, IL 62626
(217) 854-4741
(217) 854-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018555
IL
Other
Enumeration date
10/17/2006
Last updated
12/27/2022
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