| East Moline Dental Center Pc | |
|
748 Green Park Ave Colona IL 61241-9617 | |
| (309) 792-2211 | |
| (309) 792-4678 |
| Full Name | East Moline Dental Center Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 748 Green Park Ave, Colona, Illinois |
| Authorized Official Name and Position | Michael A Kendall (DENTIST) |
| Authorized Official Contact | 3097551700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Moline Dental Center Pc 748 Green Park Ave Colona IL 61241-9617 Ph: (309) 792-2211 | East Moline Dental Center Pc 748 Green Park Ave Colona IL 61241-9617 Ph: (309) 792-2211 |
| NPI Number | 1376014746 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376014746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |