Dominik Dubravec Dds Mmsc Pc | |
555 W Court St Ste 202 Kankakee IL 60901-3674 | |
(815) 932-0554 | |
(815) 932-0976 |
Full Name | Dominik Dubravec Dds Mmsc Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 555 W Court St Ste 202, Kankakee, Illinois |
Authorized Official Name and Position | Dominik Dubravec (PERIODONTIST/OWNER) |
Authorized Official Contact | 8159320554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dominik Dubravec Dds Mmsc Pc 555 W Court St Ste 202 Kankakee IL 60901-3674 Ph: (815) 932-0554 | Dominik Dubravec Dds Mmsc Pc 555 W Court St Ste 202 Kankakee IL 60901-3674 Ph: (815) 932-0554 |
NPI Number | 1891309399 |
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Provider Enumeration Date | 09/02/2020 |
Last Update Date | 09/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891309399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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