D2 Dental at Oak Street, P.c.
NPI #1639587025 in Blue Island, Illinois
Provider Information
- NPI Number
- 1639587025
- Entity Type
- Organization
- Organization Name
- D2 Dental at Oak Street, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 29, 2014
- Last Updated
- Jul 29, 2014
Practice Location
- Address
- 3046 WEST 127TH STREET
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406
- Phone
- (312) 888-4306
Authorized Official
- Name
- BORIS LABINOV
- Title
- AGENT
- Phone
- (708) 445-2668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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