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Organization
TLC DENTAL
Active
Organization
TLC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA A LETRERO DDS (PRESIDENT)
(708) 289-6042
Entity
Organization
Contact information
Practice address
155 N NELTNOR BLVD, WEST CHICAGO, IL 60185-2315
(630) 562-2500
Mailing address
18612 W POINT DR, TINLEY PARK, IL 60477-4930
(708) 289-6042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026934
IL
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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