Organization
MICHAEL D. DANNER, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D DANNER DDS (OWNER)
(309) 346-2145
Entity
Organization
Contact information
Practice address
1426 VALLE VISTA BLVD, PEKIN, IL 61554-6224
(309) 346-2145
(309) 346-6330
Mailing address
1426 VALLE VISTA BLVD, PEKIN, IL 61554-6224
(309) 346-2145
(309) 346-6330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-023984
IL
Other
Enumeration date
07/06/2006
Last updated
05/31/2011
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