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Organization
MICHAEL T TIERNEY DDS.LTD
Active
Organization
MICHAEL T TIERNEY DDS.LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T TIERNEY DDS (DENTIST)
(630) 554-5157
Entity
Organization
Contact information
Practice address
4781 STATE ROUTE 71, OSWEGO, IL 60543-7415
(630) 554-5157
(630) 554-5487
Mailing address
4781 STATE ROUTE 71, OSWEGO, IL 60543-7415
(630) 554-5157
(630) 554-5487
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01914998
IL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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