| Shonkwiler Family Dental Llc | |
|
110 N Oak St Arcola IL 61910-1417 | |
| (217) 518-1174 | |
| (217) 518-1175 |
| Full Name | Shonkwiler Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 N Oak St, Arcola, Illinois |
| Authorized Official Name and Position | Ryan Scott Shonkwiler (OWNER) |
| Authorized Official Contact | 2175181174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shonkwiler Family Dental Llc 110 N Oak St Arcola IL 61910-1417 Ph: (217) 518-1174 | Shonkwiler Family Dental Llc 110 N Oak St Arcola IL 61910-1417 Ph: (217) 518-1174 |
| NPI Number | 1033769997 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033769997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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