Organization
TAZEWELL COUNTY HEALTH DEPARTMENT -DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LEE MARSHALL DMD (DIRECTOR OF DENTAL SERVICES)
(309) 382-2229
Entity
Organization
Contact information
Practice address
135 RADIO CITY DRIVE, SUITE A & B, NORTH PEKIN, IL 61554
(309) 382-2229
(309) 382-1155
Mailing address
135 RADIO CITY DRIVE, SUITE A & B, NORTH PEKIN, IL 61554
(309) 382-2229
(309) 382-1155
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
E9993-0978-05
IL
Other
Enumeration date
03/02/2007
Last updated
06/20/2008
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