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Organization

VERHEECKE DENTAL LLC

Active
Parent organization
VERHEECKE DENTAL LLC
Other names
Orangeville Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
VERHEECKE DENTAL LLC
Authorized official
MRS. PENNY K BOSE (OFFICE MANAGER)
(815) 789-4611
Entity
Organization

Contact information

Practice address
103 S MAIN ST, ORANGEVILLE, IL 61060-9244
(815) 789-4611
(815) 789-4612
Mailing address
PO BOX 456, ORANGEVILLE, IL 61060-0456
(815) 789-4611
(815) 789-4612

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/30/2020
Last updated
04/30/2020
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