NICHOLAS BACOS

CHICAGO, IL
NPI1588918734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019029283)
Enumeration Date2012-11-08
Last Update Date2014-10-23
Business Address
-- NICHOLAS BACOS
430 W ERIE ST STE 200
CHICAGO, IL 60654-6914
Phone number: 920-838-1649
Mailing Address
-- NICHOLAS BACOS
430 W ERIE ST STE 200
CHICAGO, IL 60654-6914
Phone number:
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