Individual
DR. RITA M GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2103 E WASHINGTON ST STE 1C, BLOOMINGTON, IL 61701-4365
(309) 662-8448
Mailing address
3171 FIRE FLY CT, NORMAL, IL 61761-9635
(309) 706-3371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.031779
IL
122300000X
Dentist
Primary
12014559A
IN
122300000X
Dentist
2901602092
MI
Other
Enumeration date
07/10/2018
Last updated
07/07/2025
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