Organization
MEDORA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JURGENS DMD (DENTIST)
(217) 853-6075
Entity
Organization
Contact information
Practice address
931 S MARLIN CT, DECATUR, IL 62521-5550
(217) 853-6075
Mailing address
931 S MARLIN CT, DECATUR, IL 62521-5550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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