Maurer Family Dental LLC
Dentist, General Practice in Springfield, IL. Organization (NPI-2).
NPI number1952829889
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1952829889
- Entity type
- Organization (NPI-2)
- Legal business name
- Maurer Family Dental LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
4526 Old Salem LnSpringfield, IL 62711-6006
Phone 217-546-8600
Mailing address
1526 S Bates AveSpringfield, IL 62704-3348
Phone 217-314-9317
Authorized official
Trisha Fluckiger
Owner
2175468600
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