Individual
DR. JOHNATHAN J FEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2909 19TH ST, EAST MOLINE, IL 61244-5019
(309) 796-2251
(309) 796-2274
Mailing address
2909 19TH ST, EAST MOLINE, IL 61244-5019
(309) 796-2251
(309) 796-2274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027921
IL
Other
Enumeration date
05/16/2009
Last updated
11/17/2011
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