Organization
CENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK GLENN WALZ DDS (PROVIDER)
(309) 699-1300
Entity
Organization
Contact information
Practice address
731 SABRINA DR, SUITE A, EAST PEORIA, IL 61611-3581
(309) 699-1300
Mailing address
731 SABRINA DR, SUITE A, EAST PEORIA, IL 61611-3581
(309) 699-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021995
IL
Other
Enumeration date
02/07/2011
Last updated
09/30/2013
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