Organization · Type 2 NPI
Peoria Dental LLC
Dental Clinic/Center · Peoria, IL
NPI number
1992202139
Active
Practice location
7417 N Knoxville Ave
Peoria, IL 61614-2019
Fax (309) 981-5981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Peoria
About NPI 1992202139
Peoria Dental LLC's National Provider Identifier is 1992202139, issued on Apr 12, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Peoria, IL. The record was last updated on Apr 12, 2018.