Organization
DENTSENSUS PEORIA, PLLC
Active
Other names
Just Kidz Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JACK KALLOCH DMD (OWNER)
(414) 841-2881
Entity
Organization
Contact information
Practice address
1320 W NORTHMOOR RD STE A, PEORIA, IL 61614-3425
(414) 841-2881
Mailing address
1320 W NORTHMOOR RD STE A, PEORIA, IL 61614-3425
(414) 841-2881
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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