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Organization
WALTER TATCH, D.D.S., LTD.
Active
Organization
WALTER TATCH, D.D.S., LTD.
Active
Other names
CENTER FOR ORAL AND FACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA MANDEL-TATCH (OFFICE MANAGER)
(972) 898-5336
Entity
Organization
Contact information
Practice address
310 S GREENLEAF ST STE 203, GURNEE, IL 60031-5708
(847) 623-5915
(847) 623-1174
Mailing address
310 S GREENLEAF ST STE 203, GURNEE, IL 60031-5708
(847) 623-5915
(847) 623-1174
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002076
IL
Other
Enumeration date
10/20/2006
Last updated
08/14/2013
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