Organization
MARTIN P KORNAK DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN PETER KORNAK DDS (PRESIDENT)
(708) 447-9299
Entity
Organization
Contact information
Practice address
84 E BURLINGTON ST, RIVERSIDE, IL 60546-2118
(708) 447-9299
(708) 447-9322
Mailing address
84 E BURLINGTON ST, RIVERSIDE, IL 60546-2118
(708) 447-9299
(708) 447-9322
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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