Individual
BYRON LANCE RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1172 MONROE ST, GALESBURG, IL 61401
(309) 342-2412
(309) 342-3837
Mailing address
1172 MONROE ST, GALESBURG, IL 61401
(309) 342-2412
(309) 342-3837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19014663
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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