Daniel T Bodine DDS PC

NPI #1164500534 in Worth, Illinois

Provider Information

NPI Number: 1164500534
Entity Type: Organization
Organization Name: Daniel T Bodine DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 11130 SOUTH HARLEM AVE
City: Worth
State: Illinois
ZIP Code: 60482
Phone: (708) 448-6760

Authorized Official

Name: DR. DANIEL THOMAS BODINE, DDS
Title: PRESIDENT
Phone: (708) 448-6760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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