Dental Associates of Orland Park, Pllc
NPI #1053976605 in Orland Park, Illinois
Provider Information
- NPI Number
- 1053976605
- Entity Type
- Organization
- Organization Name
- Dental Associates of Orland Park, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 8, 2019
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 9443 W 144TH PL
- City
- Orland Park
- State
- Illinois
- ZIP Code
- 60462-2543
- Phone
- (708) 403-9848
Authorized Official
- Name
- MRS. MARLEY BRAKER
- Title
- PROVIDER CREDENTIALING TEAM LEADER
- Phone
- (414) 808-3031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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