Robert George Kosobucki D.D.S.

NPI 1144382961 - Dentist - 122300000X

NPI Details
NPI 1144382961
Gender Male
Enumeration Date 12/15/2006
Last Updated 03/11/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
12011 S 86TH AVE
PALOS PARK IL, 60464-1221, US
Phone (708) 302-6953
Fax (708) 302-6953
Business Location
12011 S 86TH AVE
PALOS PARK IL, 60464-1221, US
Phone (708) 302-6953
Fax (708) 302-6953
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 19014600
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According to our database, Robert George Kosobucki D.D.S. NPI is 1144382961, taxonomy code is 122300000X and license number is 19014600, license state is located at Illinois. Robert George Kosobucki D.D.S. physically located at 12011 S 86th Ave, Palos Park IL, 60464-1221. NPI Number Robert George Kosobucki D.D.S. has the Individual type.

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1144382961 NPI number is provided on an as is basis without warranty of any kind. 1144382961 is maintained by the National Plan & Provider Enumeration System. The contents of Robert George Kosobucki D.D.S. are for informational purposes only.