Most Relevant Information
Provider Data
| NPI Number: | 1003265273 |
| Provider Name: | KATHERINE BOENTE D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019030677 |
Most Important Dates
| Enumeration Date: | 06/08/2016 |
| Last Updated: | 06/08/2016 |
Provider Practice Location
204 OAKLAND AVE
CARLINVILLE
IL
626261951
Practice Location Phone/Fax
| Phone: | 2178544741 |
| Fax: |
Provider Mailing Location
204 OAKLAND AVE
CARLINVILLE
IL
626261951
Provider Mailing Phone/Fax
| Phone: | 2178544741 |
| Fax: |