Blocki and Bashford Dental, LLC
NPI #1023649829 in Mt. Prospect, Illinois
Provider Information
- NPI Number
- 1023649829
- Entity Type
- Organization
- Organization Name
- Blocki and Bashford Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2020
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 200 E. EVERGREEN, SUITE 129
- City
- Mt. Prospect
- State
- Illinois
- ZIP Code
- 60056
- Phone
- (847) 259-7560
Authorized Official
- Name
- WILLIAM GALE BLOCKI, DDS
- Title
- OWNER
- Phone
- (847) 259-7560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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