Organization
THTACHER WOODS ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY A. BERTAGNA DDS (PARTNER)
(708) 453-1110
Entity
Organization
Contact information
Practice address
8383 W BELMONT AVE, SUITE 200, RIVER GROVE, IL 60171
(708) 453-1110
(708) 452-0157
Mailing address
8383 W BELMONT AVE, SUITE 200, RIVER GROVE, IL 60171
(708) 453-1110
(708) 452-0157
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.017754
IL
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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