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Organization

TAMMY GIANNETTA DDS

Active
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Organization

TAMMY GIANNETTA DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMMY GIANNETTA DDS (DENTIST/OWNER)
(815) 524-5053
Entity
Organization

Contact information

Practice address
16121 S FARRELL RD, LOCKPORT, IL 60441-8200
(815) 524-5053
(815) 552-2064
Mailing address
16121 S FARRELL RD, LOCKPORT, IL 60441-8200
(815) 524-5053
(815) 552-2064

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-026431
IL

Other

Enumeration date
02/22/2016
Last updated
02/22/2016
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