Organization
JASON R. CRESCENZO, DDS, P.C.
Active
Other names
Aesthetic Family Dental of Tinley Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R CRESCENZO DDS (PRESIDENT)
(708) 781-9754
Entity
Organization
Contact information
Practice address
16345 HARLEM AVE STE 160, TINLEY PARK, IL 60477-2589
(708) 781-9754
(708) 781-9758
Mailing address
16345 HARLEM AVE STE 160, TINLEY PARK, IL 60477-2589
(708) 781-9754
(708) 781-9758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027570
IL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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