Organization
COUNTY OF EDGAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY MC FARLAND DENTAL CLINIC (ADMINISTRATOR)
(217) 465-2212
Entity
Organization
Contact information
Practice address
502 SHAW AVE, PARIS, IL 61944-2352
(217) 465-2212
(217) 465-1121
Mailing address
502 SHAW AVE, PARIS, IL 61944-2352
(217) 465-2212
(217) 465-1121
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103024
—
IL
Enumeration date
10/27/2005
Last updated
04/04/2011
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