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Organization
SMALLTOWN DENTAL PEKIN LLC
Active
Organization
SMALLTOWN DENTAL PEKIN LLC
Active
Parent organization
SMALLTOWN DENTAL MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMALLTOWN DENTAL MANAGEMENT LLC
Authorized official
LUKE OVERCASH (OPERATIONS MANAGER)
(309) 370-5853
Entity
Organization
Contact information
Practice address
3 OLT AVE, PEKIN, IL 61554-6214
(309) 353-2454
Mailing address
3 OLT AVE, PEKIN, IL 61554-6214
(309) 353-2454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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