Organization
HEARTLAND FAMILY DENTAL CARE OF ILLINOIS, PC
Active
Parent organization
HEARTLAND FAMILY DENTAL CARE OF ILLINOIS, PC
Other names
Champaign Center for Invisible Braces
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND FAMILY DENTAL CARE OF ILLINOIS, PC
Authorized official
AMY KROEGER (INS COORD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
314 W KIRBY AVE, CHAMPAIGN, IL 61820-7208
(217) 366-8371
(217) 366-8372
Mailing address
314 W KIRBY AVE, CHAMPAIGN, IL 61820-7208
(217) 366-8371
(217) 366-8372
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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