Organization
BAYBERRY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN M FALSEY DDS (DENTIST PRESIDENT A CORPORATION)
(708) 802-8300
Entity
Organization
Contact information
Practice address
8014 171ST STREET, TINLEY PARK, IL 60477
(708) 802-8300
(708) 802-8305
Mailing address
8014 171ST STREET, TINLEY PARK, IL 60477
(708) 802-8300
(708) 802-8305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023208
IL
Other
Enumeration date
01/11/2007
Last updated
09/26/2011
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