Organization
ROBIN B BLAKKOLB DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCA BLAKKOLB (OFFICE MANAGER)
(630) 964-5881
Entity
Organization
Contact information
Practice address
6800 MAIN ST, SUITE 106, DOWNERS GROVE, IL 60516-3493
(630) 964-5880
Mailing address
6800 MAIN ST, SUITE 106, DOWNERS GROVE, IL 60516-3493
(630) 964-5880
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
12/12/2008
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