Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Highland Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (CRED. COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
12605 TROXLER AVE, HIGHLAND, IL 62249
(618) 882-6405
Mailing address
12605 TROXLER AVE, HIGHLAND, IL 62249
(618) 882-6405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
01/07/2014
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