Organization
STOFFEL AND TOMAZIN DENTAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE TOMAZIN JR. DDS (VP)
(630) 243-6622
Entity
Organization
Contact information
Practice address
5718 W 35TH ST, CICERO, IL 60804-4222
(708) 863-6363
Mailing address
5718 W 35TH ST, CICERO, IL 60804-4222
(708) 863-6363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417029372
—
IL
Enumeration date
08/20/2020
Last updated
08/20/2020
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