Individual
DR. COLTON WAYNE SYLVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
405 S PROSPECT RD, BLOOMINGTON, IL 61704-4900
(309) 662-2833
Mailing address
405 S PROSPECT RD, BLOOMINGTON, IL 61704-4900
(309) 662-2833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028431
IL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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