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IIDSM BLOOMINGTON LLC

Dentist

NPI: 1366710410Organization

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

Contact & Hours

Address
2309 E EMPIRE ST, STE. 500
BLOOMINGTON, IL 61704

Quick Facts

NPI
1366710410
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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