Houska Dental Center, Llc | |
2433 Maloney Dr Bloomington IL 61704-3750 | |
(309) 662-9042 | |
Not Available |
Full Name | Houska Dental Center, Llc |
---|---|
Speciality | Dentist |
Location | 2433 Maloney Dr, Bloomington, Illinois |
Authorized Official Name and Position | Mark Houska (OWNER) |
Authorized Official Contact | 3096629042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Houska Dental Center, Llc 2433 Maloney Dr Bloomington IL 61704-3750 Ph: () - | Houska Dental Center, Llc 2433 Maloney Dr Bloomington IL 61704-3750 Ph: (309) 662-9042 |
NPI Number | 1235486762 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235486762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019020622 (Illinois) | Primary |
News Archive
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