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Organization
PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC
Active
Organization
PEDIATRIC DENTAL ASSOCIATES OF MCLEAN COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA R RAUEN DARDIS D.D.S., M.S. (PEDIATRIC DENTIST)
(309) 663-7339
Entity
Organization
Contact information
Practice address
211 S PROSPECT RD, BLOOMINGTON, IL 61704-4910
(309) 663-7339
(309) 663-7131
Mailing address
211 S PROSPECT RD, BLOOMINGTON, IL 61704-4910
(309) 663-7339
(309) 663-7131
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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