Organization
ORLAND OAKS DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J WALCZAK DDS (PRESIDENT/DENTIST)
(708) 945-5564
Entity
Organization
Contact information
Practice address
10730 165TH ST, ORLAND PARK, IL 60467-8714
(708) 460-3040
Mailing address
10730 165TH ST, ORLAND PARK, IL 60467-8714
(708) 460-3040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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