Organization
DR. LEANNE P THATCHER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANNE PATRICIA THATCHER DDS (OWNER)
(309) 788-3900
Entity
Organization
Contact information
Practice address
2917 17TH ST, ROCK ISLAND, IL 61201-5382
(309) 788-3900
(309) 788-0971
Mailing address
2917 17TH ST, ROCK ISLAND, IL 61201-5382
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.024751
IL
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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