Organization
BUFFALO PRAIRIE DENTAL CARE OF QUINCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K J STURHAHN DMD (PRESIDENT)
(217) 224-7645
Entity
Organization
Contact information
Practice address
2801 BROADWAY ST, QUINCY, IL 62301-3639
(217) 224-7645
(217) 224-8465
Mailing address
2801 BROADWAY ST, QUINCY, IL 62301-3639
(217) 224-7645
(217) 224-8465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0190242471
IL
122300000X
Dentist
—
IL
Other
Enumeration date
08/09/2006
Last updated
01/04/2008
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