Russell J. Bak D.D.S.

NPI 1659441301 - Dentist - 122300000X

NPI Details
NPI 1659441301
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
433 N BOLINGBROOK DR STE 1
BOLINGBROOK IL, 60440-3704, US
Phone (630) 759-4191
Fax
Business Location
12758 BRADFORD LN
PLAINFIELD IL, 60585-2231, US
Phone (815) 355-0650
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 19-024912
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According to our database, Russell J. Bak D.D.S. NPI is 1659441301, taxonomy code is 122300000X and license number is 19-024912, license state is located at Illinois. Russell J. Bak D.D.S. physically located at 433 N Bolingbrook Dr Ste 1, Bolingbrook IL, 60440-3704. NPI Number Russell J. Bak D.D.S. has the Individual type.

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1659441301 NPI number is provided on an as is basis without warranty of any kind. 1659441301 is maintained by the National Plan & Provider Enumeration System. The contents of Russell J. Bak D.D.S. are for informational purposes only.