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Organization
TARA MOUSTIS, D.D.S.,P.C.
Active
Organization
TARA MOUSTIS, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA MOUSTIS D.D.S. (PRESIDENT)
(815) 464-8433
Entity
Organization
Contact information
Practice address
17037 OAK PARK AVE, TINLEY PARK, IL 60477-2776
(708) 532-8322
(708) 532-9210
Mailing address
17037 OAK PARK AVE, TINLEY PARK, IL 60477-2776
(708) 532-8322
(708) 532-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/06/2007
Last updated
08/22/2020
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