MARK L TANNENBAUM

BURBANK, IL
NPI1083780167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19015293)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
Dr. MARK L TANNENBAUM D.D.S.
5307 W 79TH ST
BURBANK, IL 60459-1403
Phone number: 708-424-5650
Mailing Address
Dr. MARK L TANNENBAUM D.D.S.
5307 W 79TH ST
BURBANK, IL 60459-1403
Phone number: 708-424-5650
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