Individual
MARDI ANNE TINGZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2172 BLACKBERRY DR, SUITE 201, GENEVA, IL 60134-1102
(630) 208-9331
(630) 208-9398
Mailing address
2172 BLACKBERRY DR, SUITE 201, GENEVA, IL 60134-1102
(630) 208-9331
(630) 208-9398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022400
IL
Other
Enumeration date
11/29/2006
Last updated
06/01/2011
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