Individual
DR. MARK ALAN BOARINI X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
800 MAIN ST, ANTIOCH, IL 60002-1542
(847) 395-1461
Mailing address
800 MAIN ST, ANTIOCH, IL 60002-1542
(847) 395-1461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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