Organization · Type 2 NPI

Lifetime Dental Care of Illinois, PC

General Practice Dentistry · Peoria, IL

NPI number 1487866919 Active

About NPI 1487866919

Lifetime Dental Care of Illinois, PC's National Provider Identifier is 1487866919, issued on May 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peoria, IL. The record was last updated on May 21, 2008.