Individual
DR. JOHN ANDREW BUKOVAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
411 W MAIN ST, COLLINSVILLE, IL 62234-3004
(618) 345-4411
(618) 345-9059
Mailing address
411 W MAIN ST, COLLINSVILLE, IL 62234-3004
(618) 345-4411
(618) 345-9059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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