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Organization
VIRDEN DENTAL CARE
Active
Organization
VIRDEN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO C. MORALES D.D.S. (OWNER/DENTIST)
(217) 965-3032
Entity
Organization
Contact information
Practice address
140 E DEAN ST, VIRDEN, IL 62690-1446
(217) 965-3032
(217) 965-4312
Mailing address
140 E DEAN ST, VIRDEN, IL 62690-1446
(217) 965-3032
(217) 965-4312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024390
IL
1223G0001X
General Practice Dentistry
019028033
IL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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