Individual
DR. PETER M TOMASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,FICOI,FACE,FDOCS
Contact information
Practice address
437 W NORTH AVE, CHICAGO, IL 60610-1420
(312) 664-2100
(312) 664-0234
Mailing address
437 W NORTH AVE, CHICAGO, IL 60610-1420
(312) 664-2100
(312) 664-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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