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DR. LEANNE PATRICIA THATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2917 17TH STREET, ROCK ISLAND, IL 61201
(309) 788-3900
(309) 788-0971
Mailing address
2917 17TH STREET, ROCK ISLAND, IL 61201
(309) 788-3900
(309) 788-0971

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024751
IL

Other

Enumeration date
08/19/2006
Last updated
08/27/2012
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