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Organization

DENTAL PROFESSIONALS OF ILLINOIS, P.C.

Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Smile Design Dental Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INS COOD)
(217) 540-5100
Entity
Organization

Contact information

Practice address
7310 N. VILLA LAKE DRIVE, SUITE A, PEORIA, IL 61614
(309) 689-0746
(309) 689-0759
Mailing address
7310 N. VILLA LAKE DRIVE, SUITE A, PEORIA, IL 61614
(309) 689-0746
(309) 689-0759

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/07/2007
Last updated
01/08/2014
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