Organization
OZ PARK FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY JOZWIAK DDS (OWNER)
(773) 871-3393
Entity
Organization
Contact information
Practice address
2215 N LINCOLN AVE, CHICAGO, IL 60614-3717
(773) 871-3393
Mailing address
2215 N LINCOLN AVE, CHICAGO, IL 60614-3717
(773) 871-3393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024541
IL
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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