Individual
MEGAN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1424 W GLEN AVE STE A, PEORIA, IL 61614-4791
(309) 691-8033
Mailing address
1424 W GLEN AVE STE A, PEORIA, IL 61614-4791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028738
IL
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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