| Vroman Orthodontics, P.c. | |
|
2131 1st Street A Moline IL 61265-7745 | |
| (309) 797-0106 | |
| (309) 797-0180 |
| Full Name | Vroman Orthodontics, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2131 1st Street A, Moline, Illinois |
| Authorized Official Name and Position | Maura J Vroman (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3097970106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vroman Orthodontics, P.c. 2131 1st Street A Moline IL 61265-7745 Ph: (309) 797-0106 | Vroman Orthodontics, P.c. 2131 1st Street A Moline IL 61265-7745 Ph: (309) 797-0106 |
| NPI Number | 1528373180 |
|---|---|
| Provider Enumeration Date | 08/07/2010 |
| Last Update Date | 08/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528373180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 08686 (Iowa) | Secondary |
| 261QD0000X | Clinic/center - Dental | 019028210 (Illinois) | Primary |
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