Laura J Donlan Dds Pc

NPI 1083767396 - Dentist - 1223G0001X

NPI Details
NPI 1083767396
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA J LAURA
Position PRESIDENT
Phone (309) 692-0175
Fax (309) 692-3139
Practice Location
7314 N WILLOWLAKE COURT
SUITE D
PEORIA IL, 61614, US
Phone (309) 692-0175
Fax (309) 692-3139
Business Location
7314 N WILLOWLAKE COURT
SUITE D
PEORIA IL, 61614, US
Phone (309) 692-0175
Fax (309) 692-3139
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19023606
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According to our database, Laura J Donlan Dds Pc NPI is 1083767396, taxonomy code is 1223G0001X and license number is 19023606, license state is located at Illinois. Laura J Donlan Dds Pc physically located at 7314 N Willowlake Court, Peoria IL, 61614. NPI Number 1033115704 has the healthcare provider type.

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1083767396 NPI number is provided on an as is basis without warranty of any kind. 1083767396 is maintained by the National Plan & Provider Enumeration System. The contents of Laura J Donlan Dds Pc are for informational purposes only.