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Organization
TINLEY DENTAL GROUP LLC
Active
Organization
TINLEY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BECKER (MANAGER)
(708) 532-4363
Entity
Organization
Contact information
Practice address
16860 OAK PARK AVE, SUITE 202, TINLEY PARK, IL 60477-2761
(708) 532-4363
(708) 532-0549
Mailing address
16860 OAK PARK AVE, SUITE 202, TINLEY PARK, IL 60477-2761
(708) 532-4363
(708) 532-0549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020163
IL
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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