Bloomington Family Dental, Ltd.
NPI #1467674770 in Bloomington, Illinois
Provider Information
- NPI Number
- 1467674770
- Entity Type
- Organization
- Organization Name
- Bloomington Family Dental, Ltd.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 908 N HERSHEY RD
- Address 2
- SUITE 2
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3730
- Phone
- (309) 664-0570
Authorized Official
- Name
- DR. JOHN PETER VAN SCOYOC, DDS
- Title
- PRESIDENT
- Phone
- (309) 664-0570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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