Zion Benton Children's Service

NPI #1962674978 in Zion, Illinois

Provider Information

NPI Number: 1962674978
Entity Type: Organization
Organization Name: Zion Benton Children's Service
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 1608 W 23RD ST
City: Zion
State: Illinois
ZIP Code: 60099
Phone: (847) 872-9227

Authorized Official

Name: MRS. YVETTE BLANTON
Title: OFFICE MANAGER
Phone: (847) 872-9227

Specialties & Taxonomy Codes

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

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