| Austriaco Dental Associates - Peru Llc | |
|
5301 State Route 251 Ste A Peru IL 61354-9317 | |
| (815) 410-3003 | |
| Not Available |
| Full Name | Austriaco Dental Associates - Peru Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5301 State Route 251 Ste A, Peru, Illinois |
| Authorized Official Name and Position | Jerome Austriaco (OWNER) |
| Authorized Official Contact | 8154103003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austriaco Dental Associates - Peru Llc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Austriaco Dental Associates - Peru Llc 5301 State Route 251 Ste A Peru IL 61354-9317 Ph: (815) 410-3003 |
| NPI Number | 1154849966 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 08/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154849966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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