Individual
DR. MATT YURCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2320 WALNUT ST, BLUE ISLAND, IL 60406-2106
(708) 371-3311
Mailing address
352 79TH PL, WILLOWBROOK, IL 60527-2433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031584
IL
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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