Organization
OLGA L THURMAN DDS LTD
Active
Other names
Dental on 45 Inc
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA L THURMAN DDS (PRESIDENT)
(224) 541-4066
Entity
Organization
Contact information
Practice address
34484 N US HIGHWAY 45, SUITE C, THIRD LAKE, IL 60030-4038
(224) 541-4066
(847) 752-8425
Mailing address
34484 N US HIGHWAY 45, SUITE C, THIRD LAKE, IL 60030-4038
(224) 541-4066
(847) 752-8425
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027065
IL
Other
Enumeration date
02/09/2013
Last updated
02/09/2013
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