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Lavender Rose Dental — NPI 1902412158, Chenoa, IL | NPI Central

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Lavender Rose Dental

NPI 1902412158 · Dental Clinic/Center · Chenoa, IL

Provider details

NPI number: 1902412158
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Shima Phoenix, Dentist(575) 840-4838

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

333 N Morehead St

Chenoa, IL 61726-1001

Phone: (815) 945-7808

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

333 N Morehead St

Chenoa, IL 61726-1001

Registry dates

Enumerated: 2020-09-22
Last updated: 2020-09-22
Certified: 2020-09-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.