Individual
DR. GREGORY PAUL BOBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 E 8TH ST, SUITE C, LOCKPORT, IL 60441-3081
(815) 838-6102
Mailing address
230 E 8TH ST, SUITE C, LOCKPORT, IL 60441-3081
(815) 838-6102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028992
IL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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