Organization
AFFORDABLE DENTISTRY TODAY, PC
Active
Parent organization
AFFORDABLE DENTISTRY TODAY, PC
Other names
Affordable Dentistry Today - Bloomington, Affordable Dentistry Today - Veterans Parkway
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFORDABLE DENTISTRY TODAY, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1507 NORTH VETERANS PARKWAY, SUITE 2, BLOOMINGTON, IL 61704
(309) 664-5033
(309) 663-0967
Mailing address
1507 NORTH VETERANS PARKWAY, SUITE 2, BLOOMINGTON, IL 61704
(309) 664-5033
(309) 663-0967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/02/2020
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