Individual
DR. THOMAS H GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 BRIARCLIFF PROF CTR, BOURBONNAIS, IL 60914
(815) 937-4455
Mailing address
14 BRIARCLIFF PROF CTR, BOURBONNAIS, IL 60914-1775
(815) 937-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-016353
IL
122300000X
Dentist
019016353
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
02/23/2021
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