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Organization

DOMINIK DUBRAVEC DDS MMSC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMINIK DUBRAVEC DDS, MMSC, PC (PERIODONTIST/OWNER)
(815) 932-0554
Entity
Organization

Contact information

Practice address
555 W COURT ST STE 202, KANKAKEE, IL 60901-3674
(815) 932-0554
(815) 932-0976
Mailing address
555 W COURT ST STE 202, KANKAKEE, IL 60901-3674
(815) 932-0554
(815) 932-0976

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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