Organization
BUFFALO PRAIRIE DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT JOSEPH STURHAHN DMD (PRESIDENT)
(217) 285-4084
Entity
Organization
Contact information
Practice address
850 N JACKSON ST, PITTSFIELD, IL 62363-1206
(217) 285-4084
Mailing address
850 N JACKSON ST, PITTSFIELD, IL 62363-1206
(217) 285-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0190242471
IL
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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