Organization
BUFFALO PRAIRIE DENTAL SURGERY AND SEDATION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAUNN STURHAHN (OFFICE MANAGER)
(217) 257-0386
Entity
Organization
Contact information
Practice address
126 N 30TH ST STE 102, QUINCY, IL 62301-3719
(217) 228-3384
Mailing address
34626 150TH AVE, PLEASANT HILL, IL 62366-2150
(217) 257-0386
(309) 218-4258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
11/02/2023
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