DR. Susan B Bordenave-Bishop, DMD

NPI #1568586386 in Peoria, Illinois

Provider Information

NPI Number: 1568586386
Entity Type: Individual
Name: DR. Susan B Bordenave-Bishop, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2116 N. SHERIDAN
City: Peoria
State: Illinois
ZIP Code: 61604
Phone: (309) 679-6140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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