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Organization

FORRESTON DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH R RUTER D.D.S. (PARTNER)
(815) 938-2490
Entity
Organization

Contact information

Practice address
510 5TH AVENUE, FORRESTON, IL 61030
(815) 938-2502
(815) 938-2363
Mailing address
510 5TH AVENUE, FORRESTON, IL 61030
(815) 938-2502
(815) 938-2363

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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