Individual
DR. BERNARD COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 W TALCOTT RD, SUITE 17, PARK RIDGE, IL 60068-5556
(847) 696-2019
Mailing address
7929 NASHVILLE AVE, BURBANK, IL 60459-1729
(708) 829-1884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028657
IL
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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