DR. Justin Bonvallet, DMD

NPI #1316018708 in Byron, Illinois

Provider Information

NPI Number: 1316018708
Entity Type: Individual
Name: DR. Justin Bonvallet, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 10, 2006
Last Updated: Jan 18, 2011

Practice Location

Address: 132 N WALNUT ST
City: Byron
State: Illinois
ZIP Code: 61010-8807
Phone: (815) 234-4211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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