IIDSM BLOOMINGTON LLC

NPI: 1366710410 · Organization · Active

Primary Specialty

Dentist

Practice Location

2309 E EMPIRE ST
500
BLOOMINGTON, IL 61704-8636 Map ↗
Phone: 309-319-6568

All Specialties & Licenses

  • Dentist Primary

NPI Registration

Enumerated: 2011-12-05

Last CMS Update: 2012-05-16