Organization
DENNIS GAETA, O.D. AND ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MARTIN GAETA O.D. (OPTOMETRIST. OWNER)
(708) 614-2311
Entity
Organization
Contact information
Practice address
17730 OAK PARK AVE, B 1, TINLEY PARK, IL 60477-3918
(708) 614-2311
Mailing address
7830 PARK CENTRAL DR N, TINLEY PARK, IL 60477-4581
(708) 614-2311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008113
IL
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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