Organization
BULL VALLEY AESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DANO (BUSINESS MANAGER)
(815) 344-2264
Entity
Organization
Contact information
Practice address
601 RIDGEVIEW DR, MCHENRY, IL 60050-7010
(815) 344-2264
Mailing address
601 RIDGEVIEW DR, MCHENRY, IL 60050-7010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020769
IL
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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