Organization
EASTLAND DENTAL CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. MILLIGAN DMD (PRESIDENT)
(309) 663-4711
Entity
Organization
Contact information
Practice address
1404 EASTLAND DRIVE, STE 101, BLOOMINGTON, IL 61701
(309) 663-4711
(309) 663-1854
Mailing address
1404 EASTLAND DRIVE, STE 101, BLOOMINGTON, IL 61701
(309) 663-4711
(309) 663-1854
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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