Individual provider · Type 1 NPI

Mark Anthony Koludrovic, DDS

General Practice Dentistry · Evergreen Park, IL

NPI number 1629146725 Active

About NPI 1629146725

Mark Anthony Koludrovic, DDS's National Provider Identifier is 1629146725, issued on Nov 30, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Evergreen Park, IL. The record was last updated on Jul 8, 2007.