Organization
SARAH L. SWANLUND, DMD, INC.
Active
Other names
Swanlund Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH SWANLUND DMD (DENTIST)
(309) 532-1113
Entity
Organization
Contact information
Practice address
143 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704-3528
(309) 661-1500
(309) 661-1520
Mailing address
143 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704-3528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.029030
STATE LICENSE
IL
Enumeration date
02/02/2022
Last updated
02/02/2022
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