Individual
DR. MARK J. NIEKRASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1635 N BALDWIN RD, PALATINE, IL 60074-1703
(847) 359-8886
(847) 963-2331
Mailing address
1635 N BALDWIN RD, PALATINE, IL 60074-1703
(847) 359-8886
(847) 963-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19-14121
IL
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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