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Organization
STEVEN C THARP DDS PC
Active
Organization
STEVEN C THARP DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CASIMIR THARP DDS (PRESIDENT)
(815) 712-6521
Entity
Organization
Contact information
Practice address
10171 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 712-6521
Mailing address
10S267 KAYE LN, WILLOWBROOK, IL 60527-6019
(815) 712-6521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028356
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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