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Organization
SYLVESTER FAMILY DENTAL, LLC
Active
Organization
SYLVESTER FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLTON W. SYLVESTER D.M.D (OWNER)
(309) 662-2833
Entity
Organization
Contact information
Practice address
2708 E LINCOLN ST, BLOOMINGTON, IL 61704-6010
(309) 662-2833
(309) 662-7862
Mailing address
2708 E LINCOLN ST, BLOOMINGTON, IL 61704-6010
(309) 662-2833
(309) 662-7862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-028431
IL
Other
Enumeration date
11/20/2013
Last updated
10/22/2019
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