FOSTER AVENUE DENTAL CLINIC P.C.

DES PLAINES, IL
NPI1205133527
Entity TypeOrganization
Authorized ContactGREGORY H TIETZER
Owner
773-463-8860
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019019206)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
FOSTER AVENUE DENTAL CLINIC P.C.
1400 E GOLF RD SUITE 125
DES PLAINES, IL 60016-1236
Phone number: 847-827-7990
Mailing Address
FOSTER AVENUE DENTAL CLINIC P.C.
3318 W FOSTER AVE
CHICAGO, IL 60625-4813
Phone number: 773-463-8860
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