Organization
EAST MOLINE DENTAL CENTER PC
Active
Parent organization
EAST MOLINE DENTAL CENTER PC
Other names
Colona Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MOLINE DENTAL CENTER PC
Authorized official
MICHAEL A KENDALL (DENTIST)
(309) 755-1700
Entity
Organization
Contact information
Practice address
748 GREEN PARK AVE, COLONA, IL 61241-9617
(309) 792-2211
(309) 792-4678
Mailing address
748 GREEN PARK AVE, COLONA, IL 61241-9617
(309) 792-2211
(309) 792-4678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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