Organization
ROBERT D. HORENKAMP, D.D.S. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE HORENKAMP (BUSINESS MANAGER)
(309) 662-2833
Entity
Organization
Contact information
Practice address
405 S PROSPECT RD, BLOOMINGTON, IL 61704-4900
(309) 662-2833
(309) 662-7862
Mailing address
405 S PROSPECT RD, BLOOMINGTON, IL 61704-4900
(309) 662-2833
(309) 662-7862
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.013846
IL
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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