CHARLES J TANNENBAUM

MCHENRY, IL
NPI1720252224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019-015317)
Enumeration Date2008-04-15
Last Update Date2012-01-01
Business Address
Dr. CHARLES J TANNENBAUM DDS
5404 W ELM ST STE F
MCHENRY, IL 60050-4052
Phone number: 815-759-0871
Mailing Address
Dr. CHARLES J TANNENBAUM DDS
5404 W ELM ST STE F
MCHENRY, IL 60050-4052
Phone number: 815-759-0871
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