Individual
MICHAEL MOMCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6712 N MOUNTELLO DR, PEORIA, IL 61614-2328
(309) 691-7855
Mailing address
1600 S 4TH AVE STE 110, MORTON, IL 61550-3401
(309) 370-5853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036224
IL
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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