Organization
TIMOTHY J. LOUGHRAN DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. LOUGHRAN (PRESIDENT)
(618) 988-8130
Entity
Organization
Contact information
Practice address
200 S 16TH ST, HERRIN, IL 62948-2237
(618) 988-8130
Mailing address
200 S 16TH ST, HERRIN, IL 62948-2237
(618) 988-8130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-018163-1
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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