Organization · Type 2 NPI

Eastland Dental Center, Ltd.

Clinic/Center · Bloomington, IL

NPI number 1609134865 Active

Practice location

1404 Eastland Drive, Ste 101
Bloomington, IL 61701

Call (309) 663-4711 Map

Fax (309) 663-1854

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

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About NPI 1609134865

Eastland Dental Center, Ltd.'s National Provider Identifier is 1609134865, issued on Apr 25, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Apr 25, 2012.