Organization
MORTON DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA K GRIMM D.D.S. (V. PRES.)
(309) 263-2781
Entity
Organization
Contact information
Practice address
1600 S 4TH AVE, STE 110, MORTON, IL 61550-2889
(309) 263-2781
(309) 263-4161
Mailing address
1600 S 4TH AVE, STE 110, MORTON, IL 61550-2889
(309) 263-2781
(309) 263-4161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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