Organization
DR. RICARDO G. TAPIADOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO G TAPIADOR DMD (DENTIST)
(847) 662-2121
Entity
Organization
Contact information
Practice address
1616 GRAND AVENUE,, STE. 106, WAUKEGAN, IL 60085
(847) 662-2121
(847) 625-9688
Mailing address
1616 GRAND AVE STE 106, WAUKEGAN, IL 60085-3676
(847) 662-2121
(847) 625-9688
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
19-A15676
IL
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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