Organization
GALVA FAMILY DENTISTRY, INC
Active
Parent organization
GALVA FAMILY DENTISTRY, INC
Other names
The Knolls Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALVA FAMILY DENTISTRY, INC
Authorized official
PAMELA BATES (GENERAL MANAGER)
(309) 932-2000
Entity
Organization
Contact information
Practice address
114 W STRATFORD DR, PEORIA, IL 61614-7301
(309) 682-6459
(309) 682-7036
Mailing address
217 MARKET ST, GALVA, IL 61434-1766
(309) 932-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016453
IL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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