Organization
DUBRAVEC PERIODONTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIK B. DUBRAVEC DDS, MMSC (OWNER)
(815) 464-3001
Entity
Organization
Contact information
Practice address
1900 SPRING RD, SUITE 205, OAK BROOK, IL 60523-1447
(630) 573-0369
(630) 573-0234
Mailing address
20635 ABBEY WOODS CT N, SUITE 203, FRANKFORT, IL 60423-3181
(815) 464-3001
(815) 464-3010
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
019021633
IL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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