Individual
DR. MARK JAMES PROSNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 W BARTLETT AVE, BARTLETT, IL 60103-4282
(630) 837-2779
(630) 837-2708
Mailing address
116 W BARTLETT AVE, BARTLETT, IL 60103-4282
(630) 837-2779
(630) 837-2708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018332
IL
Other
Enumeration date
10/13/2006
Last updated
03/12/2013
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