Dubravec Periodontal Specialists Pc | |
20635 Abbey Woods Ct N Ste 203 Frankfort IL 60423-3186 | |
(815) 464-3001 | |
(815) 464-3010 |
Full Name | Dubravec Periodontal Specialists Pc |
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Speciality | Dentist - Periodontics |
Location | 20635 Abbey Woods Ct N Ste 203, Frankfort, Illinois |
Authorized Official Name and Position | Dominik Dubravec (OWNER) |
Authorized Official Contact | 8154643001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dubravec Periodontal Specialists Pc 20635 Abbey Woods Ct N Ste 203 Frankfort IL 60423-3186 Ph: (815) 464-3001 | Dubravec Periodontal Specialists Pc 20635 Abbey Woods Ct N Ste 203 Frankfort IL 60423-3186 Ph: (815) 464-3001 |
NPI Number | 1598374167 |
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Provider Enumeration Date | 07/29/2020 |
Last Update Date | 12/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598374167 | NPI | - | NPPES |
1427122381 | Other | IL | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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