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Organization
RUSSELL J BAK DDS PC
Active
Organization
RUSSELL J BAK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J BAK DDS (OWNER)
(630) 759-4191
Entity
Organization
Contact information
Practice address
433 N BOLINGBROOK DR, SUITE 1, BOLINGBROOK, IL 60440
(630) 759-4191
(630) 759-4378
Mailing address
433 N BOLINGBROOK DR, SUITE 1, BOLINGBROOK, IL 60440
(630) 759-4191
(630) 759-4378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-024912
IL
Other
Enumeration date
11/09/2006
Last updated
04/26/2019
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