Individual
ROBERT JAN BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2260 W IRVING PK RD, HANOVER PK, IL 60133
(630) 830-7890
(630) 830-7002
Mailing address
2260 W IRVING PARK ROAD, HANOVER PK, IL 60133
(630) 830-7890
(630) 830-7002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017925
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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