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Organization

H & H FAMILY DENTAL, PC

Active
Parent organization
H & H FAMILY DENTAL, PC
Other names
Holmes Dental Associates, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
H & H FAMILY DENTAL, PC
Authorized official
JULIE LIPIC (OFFICE MANAGER)
(309) 662-0523
Entity
Organization

Contact information

Practice address
10 HEARTLAND DR, SUITE A, BLOOMINGTON, IL 61704-7741
(309) 662-0523
(309) 662-7693
Mailing address
10 HEARTLAND DR, SUITE A, BLOOMINGTON, IL 61704-7741
(309) 662-0523
(309) 662-7693

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025505
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33486
BCBS ID#
IL
Enumeration date
10/27/2006
Last updated
01/10/2018
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