Martin P Kornak Dds Ltd | |
84 E Burlington St Riverside IL 60546-2118 | |
(708) 447-9299 | |
(708) 447-9322 |
Full Name | Martin P Kornak Dds Ltd |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 84 E Burlington St, Riverside, Illinois |
Authorized Official Name and Position | Martin Peter Kornak (PRESIDENT) |
Authorized Official Contact | 7084479299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Martin P Kornak Dds Ltd 84 E Burlington St Riverside IL 60546-2118 Ph: (708) 447-9299 | Martin P Kornak Dds Ltd 84 E Burlington St Riverside IL 60546-2118 Ph: (708) 447-9299 |
NPI Number | 1770681223 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770681223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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