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Search › Illinois › 122300000X

Eric Sudholt, D.M.D

NPI 1467759944 · on the registry since 2011

Practice

Address
838 W Glen Ave
Peoria, IL 61614
Phone
(309) 691-1990
Organisation at this address
Pine Glen Dental Group, Ltd
Pine Glen Dental Group, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois