| D2 Dental At Oak Street, P.c. | |
|
3046 West 127th Street Blue Island IL 60406 | |
| (312) 888-4306 | |
| Not Available |
| Full Name | D2 Dental At Oak Street, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3046 West 127th Street, Blue Island, Illinois |
| Authorized Official Name and Position | Boris Labinov (AGENT) |
| Authorized Official Contact | 7084452668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D2 Dental At Oak Street, P.c. 137 N Oak Park Ave Suite 310 Oak Park IL 60301-1344 Ph: () - | D2 Dental At Oak Street, P.c. 3046 West 127th Street Blue Island IL 60406 Ph: (312) 888-4306 |
| NPI Number | 1639587025 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639587025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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