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Organization
FLANNAGAN-DA DENTAL, LLC
Active
Organization
FLANNAGAN-DA DENTAL, LLC
Active
Other names
Lasting Impressions Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE VILK (MANAGER)
(217) 463-4110
Entity
Organization
Contact information
Practice address
14649 N GRAY RD, WESTFIELD, IN 46062-9274
(317) 571-9610
Mailing address
522 E JASPER ST, PARIS, IL 61944-2437
(217) 348-7770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
07/21/2022
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