MRS. Aida Fatusic Bosnjak, RDH, OMT,BBP

NPI #1912406455 in Lake Forest, Illinois

Provider Information

NPI Number: 1912406455
Entity Type: Individual
Name: MRS. Aida Fatusic Bosnjak, RDH, OMT,BBP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH, OMT,BBP
Enumeration Date: Feb 11, 2018
Last Updated: Feb 11, 2018

Practice Location

Address: 825 S WAUKEGAN RD
City: Lake Forest
State: Illinois
ZIP Code: 60045-2696
Phone: (847) 234-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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