Organization
TOWN & COUNTRY DENTAL CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WEGNER D.D.S. (PRESIDENT/DENTIST)
(708) 383-0330
Entity
Organization
Contact information
Practice address
1144 LAKE STREET, SUITE 213, OAK PARK, IL 60301-1043
(708) 383-0330
Mailing address
1144 LAKE STREET, SUITE 213, OAK PARK, IL 60301-1043
(708) 383-0330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019019065
IL
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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