Organization
SHONKWILER FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT SHONKWILER DMD (OWNER)
(217) 518-1174
Entity
Organization
Contact information
Practice address
110 N OAK ST, ARCOLA, IL 61910-1417
(217) 518-1174
(217) 518-1175
Mailing address
110 N OAK ST, ARCOLA, IL 61910-1417
(217) 518-1174
(217) 518-1175
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
02/06/2020
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