Organization
MAURER FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISHA FLUCKIGER DMD (OWNER)
(217) 546-8600
Entity
Organization
Contact information
Practice address
4526 OLD SALEM LN, SPRINGFIELD, IL 62711-6006
(217) 546-8600
Mailing address
1526 S BATES AVE, SPRINGFIELD, IL 62704-3348
(217) 314-9317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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