DR. Mark L Tannenbaum, D.D.S.

NPI #1083780167 in Burbank, Illinois

Provider Information

NPI Number: 1083780167
Entity Type: Individual
Name: DR. Mark L Tannenbaum, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5307 W 79TH ST
City: Burbank
State: Illinois
ZIP Code: 60459-1403
Phone: (708) 424-5650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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