| Laura J Donlan Dds Pc | |
|
7314 N Willowlake Court Suite D Peoria IL 61614 | |
| (309) 692-0175 | |
| (309) 692-3139 |
| Full Name | Laura J Donlan Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7314 N Willowlake Court, Peoria, Illinois |
| Authorized Official Name and Position | Laura J Donlan (PRESIDENT) |
| Authorized Official Contact | 3096920175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Donlan Dds Pc 7314 N Willowlake Court Suite D Peoria IL 61614 Ph: (309) 692-0175 | Laura J Donlan Dds Pc 7314 N Willowlake Court Suite D Peoria IL 61614 Ph: (309) 692-0175 |
| NPI Number | 1083767396 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083767396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19023606 (Illinois) | Primary |
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