Individual
DR. RUSSELL J BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
433 N BOLINGBROOK DRIVE, SUITE 1, BOLINGBROOK, IL 60440
(630) 759-4191
(630) 759-4378
Mailing address
433 N BOLINGBROOK DRIVE, SUITE 1, BOLINGBROOK, IL 60440
(630) 759-4191
(630) 759-4378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-024912
IL
Other
Enumeration date
11/09/2006
Last updated
04/24/2019
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