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Organization
SCHWALBE FAMILY DENTISTRY PC
Active
Organization
SCHWALBE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LEE SCHWALBE D.D.S. (DENTIST)
(217) 351-9096
Entity
Organization
Contact information
Practice address
1807 WOODFIELD DR, SAVOY, IL 61874-9476
(217) 351-9096
(217) 366-0147
Mailing address
1807 WOODFIELD DR, SAVOY, IL 61874-9476
(217) 351-9096
(217) 366-0147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19014675
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19014675
LICENSE
IL
Enumeration date
05/05/2007
Last updated
08/23/2011
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