Organization
NORTH CREEK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH RYAN JR. D.D.S. (PRESIDENT)
(708) 532-4121
Entity
Organization
Contact information
Practice address
18425 W CREEK DR, TINLEY PARK, IL 60477-6767
(708) 532-4131
(708) 532-4151
Mailing address
18425 W CREEK DR, TINLEY PARK, IL 60477-6767
(708) 532-4131
(708) 532-4151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0190193333
IL
261QD0000X
Dental Clinic/Center
1811932106
IL
261QD0000X
Dental Clinic/Center
1891985552
IL
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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