ROBIN BRENT BLAKKOLB

DOWNERS GROVE, IL
NPI1508945437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  021-001127)
Enumeration Date2006-11-02
Last Update Date2008-04-23
Business Address
Dr. ROBIN BRENT BLAKKOLB D.D.S.
6800 MAIN ST SUITE 106
DOWNERS GROVE, IL 60516-3493
Phone number: 630-964-5880
Mailing Address
Dr. ROBIN BRENT BLAKKOLB D.D.S.
6800 MAIN ST SUITE 106
DOWNERS GROVE, IL 60516-3493
Phone number: 630-964-5880