Individual
DENNIS P FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2103 E WASHINGTON, SUITE 2F, BLOOMINGTON, IL 61701
(309) 662-9481
(309) 662-9480
Mailing address
2103 E WASHINGTON, SUITE 2F, BLOOMINGTON, IL 61701
(309) 662-9481
(309) 662-9480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019015686
IL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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