Organization
GALVA FAMILY DENTISTRY, INC.
Active
Parent organization
GALVA FAMILY DENTISTRY, INC.
Other names
Port Byron Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALVA FAMILY DENTISTRY, INC.
Authorized official
SCOTT BIALOBRESKI D.D.S. (PRESIDENT)
(309) 932-2000
Entity
Organization
Contact information
Practice address
308 11TH ST, PORT BYRON, IL 61275-9038
(309) 523-3325
Mailing address
308 11TH ST, PORT BYRON, IL 61275-9038
(309) 523-3325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030515
IL
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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