Organization
VASTLIK, LTD
Active
Other names
Dental Care of Oak Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDAN THOMAS VASTLIK DDS (OWNER / DENTIST)
(815) 992-8393
Entity
Organization
Contact information
Practice address
101 S OAK PARK AVE, OAK PARK, IL 60302-2901
(708) 386-0960
Mailing address
2309 N LEAVITT ST APT 3, CHICAGO, IL 60647-3246
(815) 992-8393
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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