Organization
GLOBAL DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR TISMENSKY DDS (DOCTOR/OWNER)
(312) 316-1993
Entity
Organization
Contact information
Practice address
8269 W GOLF RD, NILES, IL 60714-1156
(312) 316-1993
Mailing address
8269 W GOLF RD, NILES, IL 60714-1156
(312) 316-1993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025978
IL
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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