Organization
DENTAL ART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARIA TYLMAN DDS (PRESIDENT)
(847) 590-5200
Entity
Organization
Contact information
Practice address
1512 N ELMHURST RD, MT PROSPECT, IL 60056-1011
(847) 590-5200
(866) 226-8343
Mailing address
1512 N ELMHURST RD, MT PROSPECT, IL 60056-1011
(847) 590-5200
(866) 226-8343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026882
IL
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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