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Organization

EUREKA FAMILY DENTAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL MOON DDS (CO-OWNER)
(309) 467-3515
Entity
Organization

Contact information

Practice address
2000 S MAIN ST, EUREKA, IL 61530-1663
(309) 467-3515
Mailing address
2000 S MAIN ST, EUREKA, IL 61530-1663
(309) 467-3515

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023704
IL
122300000X
Dentist
019028324
IL

Other

Enumeration date
01/30/2017
Last updated
01/30/2017
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