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Organization
ZION BENTON CHILDREN'S SERVICE
Active
Organization
ZION BENTON CHILDREN'S SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE BLANTON (OFFICE MANAGER)
(847) 872-9227
Entity
Organization
Contact information
Practice address
1608 W 23RD ST, ZION, IL 60099
(847) 872-9227
(847) 872-9226
Mailing address
1608 W. 23RD ST., ZION, IL 60099
(847) 872-9227
(872) 872-9226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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