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Organization

BISCHOFF DENTISTRY, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD JOSEPH BISCHOFF DDS (DENTIST)
(815) 633-7220
Entity
Organization

Contact information

Practice address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
(815) 633-7295
Mailing address
6726 COMMONWEALTH DR, LOVES PARK, IL 61111-8625
(815) 633-7220
(815) 633-7295

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01902201
IL

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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