Martin Daniel Bour DDS

NPI 1003969809 - Dentist - 122300000X

NPI Details
NPI 1003969809
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 BANKVIEW DR
STE A
FRANKFORT IL, 60423, US
Phone (815) 469-3395
Fax (815) 469-4414
Business Location
600 BANKVIEW DR
STE A
FRANKFORT IL, 60423, US
Phone (815) 469-3395
Fax (815) 469-4414
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Martin Daniel Bour DDS NPI is 1003969809, taxonomy code is 122300000X Martin Daniel Bour DDS physically located at 600 Bankview Dr, Frankfort IL, 60423. NPI Number Martin Daniel Bour DDS has the Individual type.

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1003969809 NPI number is provided on an as is basis without warranty of any kind. 1003969809 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Daniel Bour DDS are for informational purposes only.