Organization
BB DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BURCH DMD, MS (PERIODONTIST/OWNER)
(815) 633-9864
Entity
Organization
Contact information
Practice address
115 W LINCOLN AVE, BELVIDERE, IL 61008-3231
(815) 547-2721
Mailing address
8100 FOREST HILLS ROAD, LOVES PARK, IL 61111
(815) 633-9864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019016241
IL
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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