Individual
DR. BOGDAN MIHAI TARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
529 TENNEY ST, KEWANEE, IL 61443-3746
(309) 853-3684
(309) 852-0140
Mailing address
529 TENNEY ST, KEWANEE, IL 61443-3746
(309) 853-3684
(309) 852-0140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027941
IL
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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