| Seneca Smiles, Ltd | |
|
293 S Main St Seneca IL 61360-9415 | |
| (815) 357-1500 | |
| (815) 357-1511 |
| Full Name | Seneca Smiles, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 293 S Main St, Seneca, Illinois |
| Authorized Official Name and Position | Peter J Pullara (DENTIST/OWNER) |
| Authorized Official Contact | 8156348009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seneca Smiles, Ltd 293 S Main St P.o. Box 289 Seneca IL 61360-9415 Ph: (815) 357-1500 | Seneca Smiles, Ltd 293 S Main St Seneca IL 61360-9415 Ph: (815) 357-1500 |
| NPI Number | 1669742649 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669742649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021493 (Illinois) | Primary |