Bonvallet Dental, PC
NPI #1912265133 in Byron, Illinois
Provider Information
- NPI Number
- 1912265133
- Entity Type
- Organization
- Organization Name
- Bonvallet Dental, PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 25, 2012
- Last Updated
- Apr 25, 2012
Practice Location
Authorized Official
- Name
- DR. JUSTIN BONVALLET, DMD
- Title
- DENTIST/PRESIDENT
- Phone
- (815) 234-4211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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