Individual
DR. MARTIN DANIEL BOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 BANKVIEW DR, STE A, FRANKFORT, IL 60423
(815) 469-3395
(815) 469-4414
Mailing address
600 BANKVIEW DR, STE A, FRANKFORT, IL 60423
(815) 469-3395
(815) 469-4414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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