Organization
LINCOLN PARK CENTER FOR DENTAL ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT TENTLER DDS (DENTIST/OWNER)
(708) 975-1504
Entity
Organization
Contact information
Practice address
2551 N CLARK ST STE 502, CHICAGO, IL 60614-1798
(708) 403-3355
(708) 403-3374
Mailing address
16600 107TH CT, ORLAND PARK, IL 60467-8898
(708) 403-3355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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