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Lavender Rose Dental
Dental Clinic/Center in Chenoa, Illinois
NPI 1902412158

Lavender Rose Dental is a Dental Clinic/Center based in Chenoa, IL and is specialized in Dental. Lavender Rose Dental practices in Chenoa, IL. The NPI Number for Lavender Rose Dental is 1902412158 and holds a License No. (Illinois).

The current practice location address for Lavender Rose Dental is 333 N Morehead St, Chenoa, IL and can be reached out via phone at 815-945-7808.

Location: 333 N Morehead St, Chenoa, IL, 61726-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902412158
Provider Name
Lavender Rose Dental
Credential
Provider Entity Type
Organization
Address
333 N Morehead St, Chenoa, IL, 61726-1001
Phone Number
815-945-7808
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 N Morehead St
City
Chenoa
State
Illinois
Zip
61726-1001
Phone Number
815-945-7808
Fax Number
person
Provider Business Mailing Address Details
Address
333 N Morehead St
City
Chenoa
State
Illinois
Zip
61726-1001
Phone Number
815-945-7808
Fax Number
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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