Bonvallet Dental, Pc | |
132 N Walnut St Byron IL 61010-8807 | |
(815) 234-4211 | |
Not Available |
Full Name | Bonvallet Dental, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 132 N Walnut St, Byron, Illinois |
Authorized Official Name and Position | Justin Bonvallet (DENTIST/PRESIDENT) |
Authorized Official Contact | 8152344211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bonvallet Dental, Pc 132 N Walnut St Po Box 432 Byron IL 61010-8807 Ph: (815) 234-4211 | Bonvallet Dental, Pc 132 N Walnut St Byron IL 61010-8807 Ph: (815) 234-4211 |
NPI Number | 1912265133 |
---|---|
Provider Enumeration Date | 04/25/2012 |
Last Update Date | 04/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912265133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019027531 (Illinois) | Primary |