| Vogue Dental Peoria Llc | |
|
3510 N University St Ste A Peoria IL 61604-1346 | |
| (203) 215-4687 | |
| Not Available |
| Full Name | Vogue Dental Peoria Llc |
|---|---|
| Speciality | Dentist |
| Location | 3510 N University St Ste A, Peoria, Illinois |
| Authorized Official Name and Position | Srinivas R Durshanapalli (OWNER) |
| Authorized Official Contact | 2032154687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vogue Dental Peoria Llc 3510 N University St Ste A Peoria IL 61604-1346 Ph: () - | Vogue Dental Peoria Llc 3510 N University St Ste A Peoria IL 61604-1346 Ph: (203) 215-4687 |
| NPI Number | 1265926729 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 02/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265926729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Pine Glen Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112 | |
Thomas C. Ferlmann Dmd , Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4325 N Sheridan Rd, Peoria, IL 61614 Phone: 309-685-0032 | |
Laura J Donlan Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7314 N Willowlake Court, Suite D, Peoria, IL 61614 Phone: 309-692-0175 Fax: 309-692-3139 | |
Smile Design Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7310 N. Villa Lake Drive, Suite A, Peoria, IL 61614 Phone: 309-689-0746 Fax: 309-689-0759 | |
Richard T. Moon, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855 Fax: 309-691-8853 | |
Martin Ruelas, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10330 N Juliet Ct, Peoria, IL 61615 Phone: 309-243-8455 Fax: 309-243-8466 | |
Associated Oral Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2807 N Knoxville Ave, Peoria, IL 61604 Phone: 309-682-1213 Fax: 309-682-5386 |