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1447670054
PERFORMACE DENTAL CARE IL PC
TINLEY PARK, IL
NPI
1447670054
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Entity Type
Organization
Authorized Contact
KEVIN FATLAND FATLAND
Dentist
815-464-8850
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 19025070)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
PERFORMACE DENTAL CARE IL PC
7230 191ST ST
TINLEY PARK, IL 60487-9378
Phone number: 815-464-8850
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Mailing Address
PERFORMACE DENTAL CARE IL PC
7230 191ST ST
TINLEY PARK, IL 60487-9378
Phone number: 815-464-8850
Copy
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