Individual
DIANA MANDEL-TATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
700 OSTERMAN AVE, DEERFIELD, IL 60015-4375
(847) 520-0770
Mailing address
700 OSTERMAN AVE, DEERFIELD, IL 60015-4375
(847) 623-5915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19025855
IL
1223G0001X
General Practice Dentistry
Primary
019025855
IL
Other
Enumeration date
10/20/2006
Last updated
02/05/2024
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