Individual provider · Type 1 NPI
Mark Anthony Koludrovic, DDS
General Practice Dentistry · Evergreen Park, IL
NPI number
1629146725
Active
Practice location
9760 S Kedzie Ave Ste 4
Evergreen Park, IL 60805-3109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 19015134 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Evergreen Park
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- Thomas Vincent Powell Jr., DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1194974865
- Melissa K. Ewa, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1386033496
- Meghan E. Gaffney, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1467716506
- Colleen T. Gaffney, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1699268573
- Stefan Dubas, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1700095627
- Thomas Anthony Koludrovic, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1740488154
- Marilyn Rita Michet, DDSGeneral Practice Dentistry Evergreen Park, IL NPI 1750430351
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.