Organization
FREEPORT FAMILY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD P DOAK D.D.S. (CLINICAL DIRECTOR)
(815) 235-2600
Entity
Organization
Contact information
Practice address
1768 S. ROSENSTIEL DR, FREEPORT, IL 61032-6897
(815) 235-2600
(815) 235-9846
Mailing address
1768 S. ROSENSTIEL DR, FREEPORT, IL 61032-6897
(815) 235-2600
(815) 235-9846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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