Prairie View Dental Llc

NPI 1063570752 - Dentist - 122300000X

NPI Details
NPI 1063570752
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIFFANY K TIFFANY
Position DENTIST OWNER
Phone (815) 895-6100
Fax (815) 895-6107
Practice Location
115 W PEACE RD
SYCAMORE IL, 60178, US
Phone (815) 895-6100
Fax (815) 895-6107
Business Location
115 W PEACE RD
SYCAMORE IL, 60178, US
Phone (815) 895-6100
Fax (815) 895-6107
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Prairie View Dental Llc NPI is 1063570752, taxonomy code is 122300000X Prairie View Dental Llc physically located at 115 W Peace Rd, Sycamore IL, 60178. NPI Number 1033115704 has the healthcare provider type.

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1063570752 NPI number is provided on an as is basis without warranty of any kind. 1063570752 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie View Dental Llc are for informational purposes only.