Organization
DONLAN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EWARD DONLAN D.D.S. (OWNER)
(309) 691-9421
Entity
Organization
Contact information
Practice address
843 W GLEN AVE, PEORIA, IL 61614-4834
(309) 691-9421
Mailing address
843 W GLEN AVE, PEORIA, IL 61614-4834
(309) 691-9421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023386
IL
Other
Enumeration date
12/31/2006
Last updated
09/05/2008
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