Gregory George Rackauskas D.D.S.

NPI 1063434124 - Dentist - 1223G0001X

NPI Details
NPI 1063434124
Gender Male
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
305 SOUTH LINDEN
NORMAL IL, 61761, US
Phone (309) 454-1425
Fax
Business Location
213 MAYS DRIVE
BLOOMINGTON IL, 61701, US
Phone (309) 663-5440
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 19014963
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According to our database, Dr. Gregory George Rackauskas D.D.S. NPI is 1063434124, taxonomy code is 1223G0001X and license number is 19014963, license state is located at Illinois. Gregory George Rackauskas D.D.S. physically located at 305 South Linden, Normal IL, 61761. NPI Number Gregory George Rackauskas D.D.S. has the Individual type.

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1063434124 NPI number is provided on an as is basis without warranty of any kind. 1063434124 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory George Rackauskas D.D.S. are for informational purposes only.