Robert Neil Marley D.D.S., Ltd
Clinic/Center, Dental in Flora, IL. Organization (NPI-2).
NPI number1417023276
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1417023276
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert Neil Marley D.D.S., Ltd
- Organization subpart
- No
- Enumeration date
- Nov 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 060003595 | IL | Yes |
Practice location
121 W 2nd StFlora, IL 62839-1606
Phone 618-662-4151
Mailing address
121 W 2nd StFlora, IL 62839-1606
Phone 618-662-4151
Authorized official
Robert Neil Marley
President
6186624151
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