Organization
D2 DENTAL OF ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LABINOV (AGENT)
(708) 386-4800
Entity
Organization
Contact information
Practice address
2101 E 71ST ST, SUITE C, CHICAGO, IL 60649-2143
(708) 386-4800
Mailing address
137 N OAK PARK AVE, SUITE 302A, OAK PARK, IL 60301-1344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
06/06/2013
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