Individual
AUSTIN TWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 DAKOTA ST, CRYSTAL LAKE, IL 60012-3742
(815) 459-1214
Mailing address
1930 RIDGE AVE APT C404, EVANSTON, IL 60201-6232
(701) 400-0573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033749
IL
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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