Organization
AUSTRIACO DENTAL ASSOCIATES - PERU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME AUSTRIACO (OWNER)
(815) 410-3003
Entity
Organization
Contact information
Practice address
5301 STATE ROUTE 251 STE A, PERU, IL 61354-9317
(815) 410-3003
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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