John J Dzakovich DDS Ltd

NPI #1245634534 in Maywood, Illinois

Provider Information

NPI Number: 1245634534
Entity Type: Organization
Organization Name: John J Dzakovich DDS Ltd
Primary Specialty: Clinic/Center
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 1409 S 5TH AVE
City: Maywood
State: Illinois
ZIP Code: 60153-2128
Phone: (708) 865-2225

Authorized Official

Name: DR. JAMES POULOS, DDS
Title: PRESIDENT
Phone: (708) 865-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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