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Organization

LITCHFIELD DENTAL PROFESSIONALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORY DARR (PRESIDENT/CEO)
(888) 502-7339
Entity
Organization

Contact information

Practice address
318 N. MADISON, LITCHFIELD, IL 62056
(217) 303-8787
(217) 324-6194
Mailing address
1922 EDWARDSVILLE CLUB PLAZA, EDWARDSVILLE, IL 62025
(217) 303-8787
(217) 324-6194

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025281
IL

Other

Enumeration date
02/03/2011
Last updated
01/04/2022
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