Organization · Type 2 NPI
Bonvallet Dental, PC
Dental Clinic/Center · Byron, IL
NPI number
1912265133
Active
Practice location
132 N Walnut St
Byron, IL 61010-8807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019027531 (IL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Byron
About NPI 1912265133
Bonvallet Dental, PC's National Provider Identifier is 1912265133, issued on Apr 25, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Byron, IL. The record was last updated on Apr 25, 2012.