SUSAN B BORDENAVE-BISHOP

PEORIA, IL
NPI1568586386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020773)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
Dr. SUSAN B BORDENAVE-BISHOP DMD
2116 N. SHERIDAN
PEORIA, IL 61604
Phone number: 309-679-6140
Mailing Address
Dr. SUSAN B BORDENAVE-BISHOP DMD
7314 N. EDGEWILD DR.
PEORIA, IL 61614
Phone number: 309-692-1796