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Organization
DOMINIK DUBRAVEC DDS MMSC PC
Active
Organization
DOMINIK DUBRAVEC DDS MMSC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIK DUBRAVEC DDS, MMSC, PC (PERIODONTIST/OWNER)
(815) 932-0554
Entity
Organization
Contact information
Practice address
555 W COURT ST STE 202, KANKAKEE, IL 60901-3674
(815) 932-0554
(815) 932-0976
Mailing address
555 W COURT ST STE 202, KANKAKEE, IL 60901-3674
(815) 932-0554
(815) 932-0976
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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