Organization
BUSHNELL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA PAIGE MCCORD DDS (OWNER)
(309) 772-2124
Entity
Organization
Contact information
Practice address
525 E WATER ST, BUSHNELL, IL 61422-1764
(309) 772-2124
Mailing address
525 E WATER ST, BUSHNELL, IL 61422-1764
(309) 772-2124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-028904
IL
124Q00000X
Dental Hygienist
020-010827
IL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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