DR. John Andrew Bukovac, DMD

NPI #1760650790 in Collinsville, Illinois

Provider Information

NPI Number
1760650790
Entity Type
Individual
Name
DR. John Andrew Bukovac, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Feb 12, 2008
Last Updated
Feb 12, 2008

Practice Location

Address
411 W MAIN ST
ZIP Code
62234-3004
Phone
(618) 345-4411

Specialties & Taxonomy Codes

Specialty
Dentist

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