Bk Dental

NPI #1093350621 in Dixon, Illinois

Provider Information

NPI Number
1093350621
Entity Type
Organization
Organization Name
Bk Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 6, 2019
Last Updated
Nov 6, 2019

Practice Location

Address
724 N BRINTON AVE
City
Dixon
ZIP Code
61021-1610
Phone
(815) 288-4731

Authorized Official

Name
KELLIE BLACK
Title
REGIONAL MANAGER
Phone
(517) 812-9931

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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