Lavender Rose Dental
Lavender Rose Dental is a Dental Clinic/Center in Chenoa, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
333 N Morehead StChenoa, IL 61726-1001
Phone: (815) 945-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1902412158 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shima Phoenix — Dentist · (575) 840-4838 |
| NPI enumerated | September 22, 2020 |
| Last updated in NPPES | September 22, 2020 |
| Certification date | September 22, 2020 |
| Mailing address | 333 N Morehead St, Chenoa, IL 61726-1001 |