Individual
DR. CLINT BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
107 S PROSPECT RD, BLOOMINGTON, IL 61704-4403
(309) 663-0433
Mailing address
107 S PROSPECT RD, BLOOMINGTON, IL 61704-4403
(309) 663-0433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028642
IL
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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