| The Knolls Family Dentistry | |
|
114 W Stratford Dr Peoria IL 61614-7301 | |
| (309) 682-6459 | |
| (309) 682-7036 |
| Full Name | The Knolls Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 W Stratford Dr, Peoria, Illinois |
| Authorized Official Name and Position | Pamela Bates (GENERAL MANAGER) |
| Authorized Official Contact | 3099322000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Knolls Family Dentistry 217 Market St Galva IL 61434-1766 Ph: (309) 932-2000 | The Knolls Family Dentistry 114 W Stratford Dr Peoria IL 61614-7301 Ph: (309) 682-6459 |
| NPI Number | 1831606433 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831606433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016453 (Illinois) | Primary |
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