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1699089003
COLTON WAYNE SYLVESTER
BLOOMINGTON, IL
NPI
1699089003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019028431)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
Dr. COLTON WAYNE SYLVESTER D.M.D
405 S PROSPECT RD
BLOOMINGTON, IL 61704-4900
Phone number: 309-662-2833
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Mailing Address
Dr. COLTON WAYNE SYLVESTER D.M.D
405 S PROSPECT RD
BLOOMINGTON, IL 61704-4900
Phone number: 309-662-2833
Copy
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