Organization
OTTAWA CHILDREN'S DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBI J. LAUN D.D.S. (PEDIATRIC DENTIST/OWNER)
(815) 434-6447
Entity
Organization
Contact information
Practice address
1704 POLARIS CIR, OTTAWA, IL 61350-1773
(815) 434-6447
(815) 434-2828
Mailing address
1704 POLARIS CIR, OTTAWA, IL 61350-1773
(815) 434-6447
(815) 434-2828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
021.002684
IL
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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