Organization
JURGENS & KNEEZEL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E JURGENS DDS (SECRETARY TREASURER)
(217) 428-4685
Entity
Organization
Contact information
Practice address
334 W MAIN STREET, DECATUR, IL 62522
(217) 428-4683
(217) 428-4738
Mailing address
334 W MAIN STREET, DECATUR, IL 62522
(217) 428-4683
(217) 428-4738
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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