Organization
BUSKIRK & HAARMAN
Active
Other names
Central Illinois Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHERINE BOOTH DDS (OWNER /DENTIST)
(217) 877-1742
Entity
Organization
Contact information
Practice address
3250 N WOODFORD ST, DECATUR, IL 62526-2836
(217) 877-1742
Mailing address
3250 N WOODFORD ST, DECATUR, IL 62526-2836
(217) 877-1742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
07/12/2023
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