| Bk Dental | |
|
724 N Brinton Ave Dixon IL 61021-1610 | |
| (815) 288-4731 | |
| Not Available |
| Full Name | Bk Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 724 N Brinton Ave, Dixon, Illinois |
| Authorized Official Name and Position | Kellie Black (REGIONAL MANAGER) |
| Authorized Official Contact | 5178129931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bk Dental 724 N Brinton Ave Dixon IL 61021-1610 Ph: () - | Bk Dental 724 N Brinton Ave Dixon IL 61021-1610 Ph: (815) 288-4731 |
| NPI Number | 1093350621 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093350621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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