| Bull Valley Aesthetic Dentistry | |
|
601 Ridgeview Dr Mchenry IL 60050-7010 | |
| (815) 344-2264 | |
| Not Available |
| Full Name | Bull Valley Aesthetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 601 Ridgeview Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Christine Dano (BUSINESS MANAGER) |
| Authorized Official Contact | 8153442264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bull Valley Aesthetic Dentistry 601 Ridgeview Dr Mchenry IL 60050-7010 Ph: () - | Bull Valley Aesthetic Dentistry 601 Ridgeview Dr Mchenry IL 60050-7010 Ph: (815) 344-2264 |
| NPI Number | 1962839001 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962839001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019020769 (Illinois) | Primary |
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