Organization
OAAA DENTAL PLLC
Active
Other names
tinley park smiles & implant dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN WHITE (MANAGER)
(708) 429-9797
Entity
Organization
Contact information
Practice address
17061 HARLEM AVE, TINLEY PARK, IL 60477-2739
(708) 429-9797
Mailing address
17061 HARLEM AVE, TINLEY PARK, IL 60477-2739
(708) 429-9797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104487826
GENERAL
—
01
—
1649757386
GENERAL
—
Enumeration date
08/21/2024
Last updated
01/13/2025
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