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Individual

DR. BRUCE N PRIVATSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
21660 W FIELD PARKWAY, SUITE 180, DEER PARK, IL 60010
(847) 277-9669
Mailing address
21660 W FIELD PARKWAY, SUITE 180, DEER PARK, IL 60010
(847) 277-9669

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021596
IL

Other

Enumeration date
03/22/2007
Last updated
01/21/2010
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