Individual
DR. DOUGLAS PAUL BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1795 GRANDSTAND PLACE, ELGIN, IL 60123
(847) 742-1216
(847) 742-2729
Mailing address
1795 GRANDSTAND PLACE, ELGIN, IL 60123
(847) 742-1216
(847) 742-2729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1917699
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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