| NPI | 1629374046 |
|---|---|
| Doing Business As | AESTHETIC FAMILY DENTAL OF TINLEY PARK |
| Entity Type | Organization |
| Authorized Contact | JASON R CRESCENZO President 708-781-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027570) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |