Organization
LYNCH FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD R LYNCH D.M.D. (PRESIDENT)
(217) 245-1211
Entity
Organization
Contact information
Practice address
1515 W WALNUT ST, BUILDING 5, JACKSONVILLE, IL 62650-1150
(217) 245-1211
(217) 291-0401
Mailing address
1515 W WALNUT ST, BUILDING 5, JACKSONVILLE, IL 62650-1150
(217) 245-1211
(217) 291-0401
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19-016290
IL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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