Individual
DR. ANTHONY PECORA PECORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
2103 E WASHINGTON ST, BLOOMINGTON, IL 61701-4310
(309) 664-1122
Mailing address
2103 E WASHINGTON ST, BLOOMINGTON, IL 61701-4310
(309) 664-1122
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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