| Blocki And Bashford Dental, Llc | |
|
200 E. Evergreen, Suite 129 Mt. Prospect IL 60056 | |
| (847) 259-7560 | |
| (847) 259-0808 |
| Full Name | Blocki And Bashford Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 E. Evergreen, Suite 129, Mt. Prospect, Illinois |
| Authorized Official Name and Position | William Gale Blocki (OWNER) |
| Authorized Official Contact | 8472597560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blocki And Bashford Dental, Llc 200 E. Evergreen, Suite 129 Mt. Prospect IL 60056 Ph: (847) 259-7560 | Blocki And Bashford Dental, Llc 200 E. Evergreen, Suite 129 Mt. Prospect IL 60056 Ph: (847) 259-7560 |
| NPI Number | 1023649829 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023649829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Russell S. Pollina D.d.s., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W. Central Road, Suite 4, Mt. Prospect, IL 60056 Phone: 847-392-2457 Fax: 847-392-6119 |