Individual
DR. DOMINIK B DUBRAVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MMSC
Contact information
Practice address
555 W COURT ST, SUITE 202, KANKAKEE, IL 60901-3664
(815) 932-0554
(815) 932-0976
Mailing address
555 W COURT ST, SUITE 202, KANKAKEE, IL 60901-3664
(815) 932-0554
(815) 932-0976
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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