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DR. JOHNATHAN J FEEHAN D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1598990897

Individual Registrant:
DR. JOHNATHAN J FEEHAN D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
2909 19TH ST  EAST MOLINE, IL 61244-5019 US
Tel: 309-796-2251  Fax: 309-796-2274

Contact information for business:
2909 19TH ST  EAST MOLINE, IL 61244-5019 US
Tel: 309-796-2251  Fax: 309-796-2274

Registration Information:
NPI: 1598990897
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
IL019027921

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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