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Organization
TATIANA OSTANINA DDS, LTD
Active
Organization
TATIANA OSTANINA DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA OSTANINA DDS (PRESIDENT/OWNER)
(708) 453-8400
Entity
Organization
Contact information
Practice address
7730 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 453-8400
(708) 453-8440
Mailing address
7730 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 453-8400
(708) 453-8440
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-025354
IL
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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