Organization
DRS. SLABY, ADAMS AND TIETJENS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW ADAMS DDS (PRESIDENT)
(815) 939-7136
Entity
Organization
Contact information
Practice address
750 ALMAR PKWY, SUITE 102, BOURBONNAIS, IL 60914-2315
(815) 939-7136
(815) 939-9820
Mailing address
750 ALMAR PKWY, SUITE 102, BOURBONNAIS, IL 60914-2315
(815) 939-7136
(815) 939-9820
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
060002115
IL
Other
Enumeration date
01/08/2007
Last updated
03/31/2009
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