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Oral Surgery, Dental Specialists

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Dental Care Facilities

Kewanee, Illinois

Provider NPI: 1346729019

Organization Information:
Organization is Subpart
Authorized Official:  EMMY  MONTES  CBO SUPERVISOR  563-5821448

Practice Location:
Tel: 309-853-3393  Fax: --

Business Mailing Address:
40 MAIN ST STE 103  DUBUQUE, IA 52001 US
Tel: 563-582-1448  Fax: --

Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities


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