| Mclean County Dental | |
|
2103 E Washington St Suite 1c Bloomington IL 61701-4310 | |
| (309) 662-8448 | |
| (309) 662-7617 |
| Full Name | Mclean County Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2103 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Emil M. Verban (OWNER) |
| Authorized Official Contact | 3096628448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean County Dental 2103 E Washington St Suite 1c Bloomington IL 61701-4310 Ph: (309) 662-8448 | Mclean County Dental 2103 E Washington St Suite 1c Bloomington IL 61701-4310 Ph: (309) 662-8448 |
| NPI Number | 1417216870 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417216870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019015656 (Illinois) | Primary |
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