ALLEN JAYWAN BAI

PEORIA, IL
NPI1417475146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IL  319.020734)
Enumeration Date2017-09-01
Last Update Date2017-09-01
Business Address
ALLEN JAYWAN BAI DDS
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number: 425-943-0242
Mailing Address
ALLEN JAYWAN BAI DDS
1200 W MAIN ST STE 9
PEORIA, IL 61606-1218
Phone number:
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