Individual
ALLEN JAYWAN BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 W MAIN ST STE 9, PEORIA, IL 61606-1218
(425) 943-0242
Mailing address
1200 W MAIN ST STE 9, PEORIA, IL 61606-1218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319.020734
IL
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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