Organization
BLOCKI AND BASHFORD DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GALE BLOCKI DDS (OWNER)
(847) 259-7560
Entity
Organization
Contact information
Practice address
200 E. EVERGREEN, SUITE 129, MT. PROSPECT, IL 60056
(847) 259-7560
(847) 259-0808
Mailing address
200 E. EVERGREEN, SUITE 129, MT. PROSPECT, IL 60056
(847) 259-7560
(847) 259-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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