Organization
TWIN CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WILLIAM TODD DMD (OWNER/DENTIST)
(309) 824-7926
Entity
Organization
Contact information
Practice address
2102 E WASHINGTON ST, BLOOMINGTON, IL 61701-4321
(309) 808-2743
Mailing address
2814 RICHARD RD, BLOOMINGTON, IL 61704-4640
(309) 824-7926
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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