Organization
JJ BIANCLANA ENTERPRISES, INC.
Active
Other names
Burlington Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT BIANCALANA DDS (OWNER/DENTIST/PRESIDENT)
(847) 683-9812
Entity
Organization
Contact information
Practice address
255 S. MAIN ST, BURLINGTON, IL 60109
(847) 683-9812
(847) 683-9801
Mailing address
PO BOX 400, BURLINGTON, IL 60109-0400
(847) 683-9812
(847) 683-9801
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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