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Decatur 2012 Llc
Dental Clinic/Center in Decatur, Illinois
NPI 1306107578

Decatur 2012 Llc is a Dental Clinic/Center based in Schaumburg, IL and is specialized in Dental. Decatur 2012 Llc practices in Decatur, IL. The NPI Number for Decatur 2012 Llc is 1306107578 and holds a License No. (Illinois).

The current practice location address for Decatur 2012 Llc is 141 E Pershing Rd, Decatur, IL and can be reached out via phone at 888-988-4066 and via fax at 847-496-7603.

Location: 141 E Pershing Rd, Decatur, IL, 60173-4144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306107578
Provider Name
Decatur 2012 Llc
Credential
Provider Entity Type
Organization
Address
141 E Pershing Rd, Decatur, IL, 60173-4144
Phone Number
888-988-4066
Fax Number
847-496-7603
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 E Pershing Rd
City
Decatur
State
Illinois
Zip
62526-3213
Phone Number
888-988-4066
Fax Number
847-496-7603
person
Provider Business Mailing Address Details
Address
141 E Pershing Rd
City
Decatur
State
Illinois
Zip
62526-3213
Phone Number
888-988-4066
Fax Number
847-496-7603
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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