Bull Valley Aesthetic Dentistry

NPI #1962839001 in Mchenry, Illinois

Provider Information

NPI Number: 1962839001
Entity Type: Organization
Organization Name: Bull Valley Aesthetic Dentistry
Primary Specialty: Dentist
Enumeration Date: Oct 3, 2013
Last Updated: Oct 3, 2013

Practice Location

Address: 601 RIDGEVIEW DR
City: Mchenry
State: Illinois
ZIP Code: 60050-7010
Phone: (815) 344-2264

Authorized Official

Name: CHRISTINE DANO
Title: BUSINESS MANAGER
Phone: (815) 344-2264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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