| Marengo Dental | |
|
110 E Washington St Marengo IL 60152-3107 | |
| (815) 568-1202 | |
| Not Available |
| Full Name | Marengo Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 E Washington St, Marengo, Illinois |
| Authorized Official Name and Position | Gary Dettman (PRESIDENT) |
| Authorized Official Contact | 8155681202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marengo Dental 110 E Washington St Marengo IL 60152-3107 Ph: (815) 568-1202 | Marengo Dental 110 E Washington St Marengo IL 60152-3107 Ph: (815) 568-1202 |
| NPI Number | 1760608731 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760608731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-020199 (Illinois) | Primary |
Liliana Paz Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Washington St, Marengo, IL 60152 Phone: 815-568-1202 |