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Individual

DR. WILLIAM SMYTHE TENER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
302 W HAY ST STE LL115, DECATUR, IL 62526-4195
(217) 875-4466
Mailing address
302 W HAY ST STE LL115, DECATUR, IL 62526-4195

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
IL

Other

Enumeration date
10/26/2006
Last updated
07/08/2007
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