NPI | 1508699059 |
---|---|
Doing Business As | TINLEY PARK SMILES & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | LAUREN WHITE Manager 708-429-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-08-21 |
Last Update Date | 2025-01-13 |