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Organization

DAVID H BAUKOL DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID H BAUKOL D.D.S. (PRESIDENT)
(312) 280-7700
Entity
Organization

Contact information

Practice address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 280-7700
(312) 280-9695
Mailing address
1749 N WELLS ST, CHICAGO, IL 60614-5877
(312) 280-7700
(312) 280-9695

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/06/2006
Last updated
08/22/2020
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