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Individual

DR. EUGENE J BUKSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
475 W 55TH ST STE 201, COUNTRYSIDE, IL 60525-3566
(708) 354-4545
(708) 354-0336
Mailing address
475 W 55TH ST STE 201, COUNTRYSIDE, IL 60525-3566
(708) 354-4545
(708) 354-0336

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
IL

Other

Enumeration date
12/28/2007
Last updated
12/28/2007
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