Russell J Bak DDS PC

NPI #1225108665 in Bolingbrook, Illinois

Provider Information

NPI Number: 1225108665
Entity Type: Organization
Organization Name: Russell J Bak DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2006
Last Updated: Apr 26, 2019

Practice Location

Address: 433 N BOLINGBROOK DR
Address 2: SUITE 1
City: Bolingbrook
State: Illinois
ZIP Code: 60440
Phone: (630) 759-4191

Authorized Official

Name: DR. RUSSELL J BAK, DDS
Title: OWNER
Phone: (630) 759-4191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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