Organization
MILAN DENTAL CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA MARIE NONNENMANN D.D.S. (MEMBER)
(309) 787-2710
Entity
Organization
Contact information
Practice address
212 4TH ST W, MILAN, IL 61264-2418
(309) 787-2710
Mailing address
212 4TH ST W, MILAN, IL 61264-2418
(309) 787-2710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025885
IL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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