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Organization
SENECA SMILES, LTD
Active
Organization
SENECA SMILES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J PULLARA JR. DDS (DENTIST/OWNER)
(815) 634-8009
Entity
Organization
Contact information
Practice address
293 S MAIN ST, SENECA, IL 61360-9415
(815) 357-1500
(815) 357-1511
Mailing address
293 S MAIN ST, P.O. BOX 289, SENECA, IL 61360-9415
(815) 357-1500
(815) 357-1511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021493
IL
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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