Organization · Type 2 NPI

Lifetime Dental Care of Illinois, PC

General Practice Dentistry · Bloomington, IL

NPI number 1265654412 Active

About NPI 1265654412

Lifetime Dental Care of Illinois, PC's National Provider Identifier is 1265654412, issued on May 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Aug 22, 2020.