Individual
DR. DOUGLAS A TELLINGHUISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(219) 662-5073
Mailing address
837 S SPRING AVE, LA GRANGE, IL 60525-2756
(708) 354-2492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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