Timothy L. Straka D.d.s., L.l.c.

NPI #1205132925 in Chicago, Illinois

Provider Information

NPI Number: 1205132925
Entity Type: Organization
Organization Name: Timothy L. Straka D.d.s., L.l.c.
Primary Specialty: Dentist
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 2409 W WARREN BLVD
City: Chicago
State: Illinois
ZIP Code: 60612-2115
Phone: (847) 360-8450

Authorized Official

Name: MR. TIMOTHY LARS STRAKA, D.D.S.
Title: MEMBER
Phone: (847) 360-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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