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Organization
TEUTOPOLIS FAMILY DENTAL LLC
Active
Organization
TEUTOPOLIS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WESTRA DMD (OWNER)
(217) 463-4110
Entity
Organization
Contact information
Practice address
206 N PEARL ST, TEUTOPOLIS, IL 62467-1134
(217) 857-3201
Mailing address
522 E JASPER ST, PARIS, IL 61944-2437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
03/04/2021
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