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Organization

MIDDLETON DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN ZACHARY MIDDLETON DMD (DENTIST)
(217) 546-9097
Entity
Organization

Contact information

Practice address
231 N BRUNS LN, BUILDING C, SPRINGFIELD, IL 62702-4612
(217) 546-9097
Mailing address
231 N BRUNS LN, BUILDING C, SPRINGFIELD, IL 62702-4612
(217) 546-9097

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029902
IL

Other

Enumeration date
03/31/2015
Last updated
03/31/2015
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